Ravi Konidala, MD in Crockett, TX - Medicare Family Medicine

Ravi Konidala, MD is a medicare enrolled "Family Medicine" physician in Crockett, Texas. His current practice location is 1050 E Loop 304, Suite 200, Etmc Rural Health Clinic, Crockett, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 544-5132.

Ravi Konidala is licensed to practice in Texas (license number M6981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124013552.

Contact Information

	Ravi Konidala, MD
	1050 E Loop 304, Suite 200, Etmc Rural Health Clinic, Crockett, TX 75835-1814
	(936) 544-5132
	(936) 544-8029

Map and Direction

Physician's Profile

Full Name	Ravi Konidala
Gender	Male
Speciality	Family Medicine
Location	1050 E Loop 304, Crockett, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124013552
Provider Enumeration Date: 09/12/2005
Last Update Date: 06/02/2011

Medicare PECOS Information:

PECOS PAC ID: 1557331758
Enrollment ID: I20071003000750

Medical Identifiers

Medical identifiers for Ravi Konidala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124013552	NPI	-	NPPES
1010424560001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	M6981 (Texas)	Secondary
207Q00000X	Family Medicine	M6981 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ravi Konidala allows following entities to bill medicare on his behalf.

Entity Name	Lufkin Physician Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881093789 PECOS PAC ID: 1153542998 Enrollment ID: O20141021001076

Entity Name	Vmd Primary Providers Of South Central Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790318566 PECOS PAC ID: 7911337472 Enrollment ID: O20200423002171

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ravi Konidala is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ravi Konidala, MD 511 Heath St, Crockett, TX 75835-2290 Ph: (936) 204-0600	Ravi Konidala, MD 1050 E Loop 304, Suite 200, Etmc Rural Health Clinic, Crockett, TX 75835-1814 Ph: (936) 544-5132

Reviews and Comments

Family Medicine Doctors in Crockett, TX

Michael R Mcleod, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 951 E Loop 304, Crockett, TX 75835 Phone: 936-655-0500 Fax: 936-873-8910
Christopher R Haeckler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Loop 304, Ste 200, Crockett, TX 75835 Phone: 936-544-5132 Fax: 936-544-5572
Kevin Alan Curran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 E Loop 304, Crockett, TX 75835 Phone: 936-546-2288
Richard Joseph Kelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 E Loop 304, Ste 200, Crockett, TX 75835 Phone: 936-544-5132 Fax: 936-544-5572
Frank A Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1122 E Loop 304, Crockett, TX 75835 Phone: 936-544-2157 Fax: 936-544-5572
Dr. Everett Perry Ramsey Iii, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1100 E Loop 304, Crockett, TX 75835 Phone: 936-544-5132 Fax: 936-544-3795

Ravi Konidala, MD - Medicare Family Medicine in Crockett, TX