| Sreenivasa Rao Tadikonda, MD | |
|
120 Paleo Dr, Monroe, LA 71203-8844 | |
| (318) 651-7410 | |
| Not Available |
| Full Name | Sreenivasa Rao Tadikonda |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 36 Years |
| Location | 120 Paleo Dr, Monroe, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881889970 | NPI | - | NPPES |
| 1071340 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD201751 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | MD.201751 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | MD.201751 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson Parish Hospital | Jonesboro, LA | Hospital |
| Northern Louisiana Medical Center | Ruston, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 158 |
| South Central Physicians Pllc | 6507195492 | 31 |
| Jackson Parish Hospital | 9335048081 | 10 |
| Northern Louisiana Emergency Physicians, Llp | 9638246846 | 31 |
| Entity Name | Jackson Parish Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093793408 PECOS PAC ID: 9335048081 Enrollment ID: O20040102000169 |
| Entity Name | Lasalle Parish Hospital Service District #1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Hospital Service District #2 Of Lasalle Parish |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801825005 PECOS PAC ID: 3971596164 Enrollment ID: O20040628001134 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588828172 PECOS PAC ID: 9638246846 Enrollment ID: O20080930000036 |
| Entity Name | Northern Louisiana Emergency Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598995847 PECOS PAC ID: 9638246846 Enrollment ID: O20090903000029 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| Entity Name | Jena Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Christus Health Central Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417494758 PECOS PAC ID: 4688570955 Enrollment ID: O20170515000438 |
| Entity Name | Cotton Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235693821 PECOS PAC ID: 5698017655 Enrollment ID: O20190424000276 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20191022002061 |
| Mailing Address | Practice Location Address |
|---|---|
| Sreenivasa Rao Tadikonda, MD 120 Paleo Dr, Monroe, LA 71203-8844 Ph: (318) 651-7410 | Sreenivasa Rao Tadikonda, MD 120 Paleo Dr, Monroe, LA 71203-8844 Ph: (318) 651-7410 |
Jeffery Fuller, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4864 Jackson St, Department Of Emergency Medical Services, Monroe, LA 71202 Phone: 318-675-7737 Fax: 318-675-5666 | |
Dr. Roberto Eduardo Medina, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 806-831-8734 Fax: 940-205-5028 | |
Aaron Scott Klepper, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4864 Jackson St, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 | |
Dr. Robert Mark Kerry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3421 Medical Park Dr, St Francis North Hospital, Monroe, LA 71211 Phone: 318-388-7874 Fax: 318-361-4629 | |
Teri O'neal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4864 Jackson St, Department Of Emergency Medical Services, Monroe, LA 71202 Phone: 318-330-7626 Fax: 318-330-7648 | |
Daniel W Twitchell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2408 Broadmoor Blvd, Suite B, Monroe, LA 71201 Phone: 318-807-0525 Fax: 318-807-1077 | |
Michael C Rommen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Jackson St, Monroe, LA 71201 Phone: 318-966-4000 |