| Srividya Venigalla, MD | |
|
100 Pecan Crossing Dr, Horseshoe Bay, TX 78657-6097 | |
| (254) 724-2111 | |
| (541) 957-8667 |
| Full Name | Srividya Venigalla |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 100 Pecan Crossing Dr, Horseshoe Bay, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104887595 | NPI | - | NPPES |
| 026827 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD25891 (Oregon) | Secondary |
| 207R00000X | Internal Medicine | U0210 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Hospital - Marble Falls | 6901117175 | 31 |
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Scott & White Hospital - Marble Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295397859 PECOS PAC ID: 6901117175 Enrollment ID: O20190926002132 |
| Mailing Address | Practice Location Address |
|---|---|
| Srividya Venigalla, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Srividya Venigalla, MD 100 Pecan Crossing Dr, Horseshoe Bay, TX 78657-6097 Ph: (254) 724-2111 |
Warren P Roche Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Pecan Crossing, Horseshoe Bay, TX 78657 Phone: 830-598-4405 Fax: 830-598-5172 | |
Laura Salazar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Pecan Crossing Dr, Horseshoe Bay, TX 78657 Phone: 830-598-4405 | |
Ravi Narayana Chavali, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Pecan Crossing Dr, Horseshoe Bay, TX 78657 Phone: 830-596-6900 Fax: 830-596-6901 | |
Mrs. Kyndra Sallee, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Horseshoe Bay Clinic (rhc), 100 Pecan Crossing Drive, Horseshoe Bay, TX 78657 Phone: 830-596-6900 |