Sridevi Panchamukhi, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Anna, Illinois. Her current practice location is
513 N Main St, Anna, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 833-4471.
Sridevi Panchamukhi is licensed to practice in Illinois (license number 036-101393) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831197656.
Physician's Profile
Full Name | Sridevi Panchamukhi |
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Gender | Female |
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Speciality | Obstetrics & Gynecology |
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Location | 513 N Main St, Anna, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831197656
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 04/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 8527190057
- Enrollment ID: I20190107002632
Medical Identifiers
Medical identifiers for Sridevi Panchamukhi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831197656 | NPI | - | NPPES |
055761 | Other | IL | HEALTH ALLIANCE |
H12137 | Other | IL | CHAMPVA |
422714 | Other | IL | HEALTHLINK |
H12137 | Other | IL | BLUE CROSS BLUE SHIELD |
H12137 | Other | IL | UNITED HEALTHCARE RR MEDI |
036-101393 | Medicaid | IL | |
036101393 | Other | IL | IDPA FEE FOR SERVICE |
H12137 | Other | IL | TRICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 036-101393 (Illinois) | 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. Sridevi Panchamukhi allows following entities to bill medicare on her behalf.
Entity Name | Obhg Texas Holdings Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
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Entity Name | Sp Obgyn Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659056968 PECOS PAC ID: 1052765013 Enrollment ID: O20230925001238 |
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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. Sridevi Panchamukhi 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 |
Sridevi Panchamukhi, MD 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 | Sridevi Panchamukhi, MD 513 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4471 |
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