Samyukta Koppula, MD is a medicare enrolled "Allergy & Immunology" physician in Willowbrook, Illinois. Her current practice location is
6857 Kingery Hwy, Willowbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 323-8800.
Samyukta Koppula is licensed to practice in Illinois (license number 00303660782441) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770641763.
Physician's Profile
| Full Name | Samyukta Koppula |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 6857 Kingery Hwy, Willowbrook, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Samyukta Koppula attended and graduated from in
NPI Data:
- NPI Number: 1770641763
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 09/30/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samyukta Koppula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770641763 | NPI | - | NPPES |
| 003-036-078244-1 | Other | IL | STATE OF IL LICENCE |
| 2233164 | Other | IL | BCBS OF ILLINOIS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207K00000X | Allergy & Immunology | 00303660782441 (Illinois) | Primary |
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. Samyukta Koppula 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 |
Samyukta Koppula, MD 6857 Kingery Hwy, Willowbrook, IL 60527-5114 Ph: (630) 323-8800 | Samyukta Koppula, MD 6857 Kingery Hwy, Willowbrook, IL 60527-5114 Ph: (630) 323-8800 |
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