Srinivas M Ammisetty, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Stanville, Kentucky. His current practice location is
9350 Us Hwy 23 South, Suite 104, Stanville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 478-1005.
Srinivas M Ammisetty is licensed to practice in Kentucky (license number 35594) 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 1689758799.
Physician's Profile
| Full Name | Srinivas M Ammisetty |
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| Gender | Male |
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| Speciality | Internal Medicine - Pulmonary Disease |
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| Location | 9350 Us Hwy 23 South, Stanville, Kentucky |
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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: 1689758799
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 04/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305742487
- Enrollment ID: I20031210000003
Medical Identifiers
Medical identifiers for Srinivas M Ammisetty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689758799 | NPI | - | NPPES |
| 65943516 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 35594 (Kentucky) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | 35594 (Kentucky) | Secondary |
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. Srinivas M Ammisetty 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 |
Srinivas M Ammisetty, MD 9350 Us Hwy 23 South, P O Box 70, Stanville, KY 41659 Ph: (606) 478-1005 | Srinivas M Ammisetty, MD 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 Ph: (606) 478-1005 |
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