Suneetha Koduru, MD in Shreveport, LA - Medicare Emergency Medicine

Suneetha Koduru, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Shreveport, Louisiana. Her current practice location is 510 E Stoner Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (183) 792-9860.

Suneetha Koduru is licensed to practice in Louisiana (license number 200884) 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 1891885968.

Contact Information

	Suneetha Koduru, MD
	510 E Stoner Ave, Shreveport, LA 71101-4243
	(183) 792-9860
	(318) 841-6044

Map and Direction

Physician's Profile

Full Name	Suneetha Koduru
Gender	Female
Speciality	Emergency Medicine - Emergency Medical Services
Location	510 E Stoner Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891885968
Provider Enumeration Date: 10/13/2006
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3274533468
Enrollment ID: I20070112000054

Medical Identifiers

Medical identifiers for Suneetha Koduru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891885968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	200884 (Louisiana)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	200884 (Louisiana)	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. Suneetha Koduru allows following entities to bill medicare on her behalf.

Entity Name	David Raines Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215933254 PECOS PAC ID: 4688586118 Enrollment ID: O20041007000508

Entity Name	Rapides After Hours Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720353352 PECOS PAC ID: 7012165921 Enrollment ID: O20120919000202

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. Suneetha Koduru 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
Suneetha Koduru, MD 1625 David Raines Rd, Shreveport, LA 71107-5899 Ph: (318) 425-2252	Suneetha Koduru, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (183) 792-9860

Reviews and Comments

Emergency Medicine Doctors in Shreveport, LA

David James Caltrider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-2326
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Joseph William Yarbrough Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Highway, Emergency Medicine, Shreveport, LA 71130 Phone: 318-626-1034
Brett Horn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Emergency Medicine, Shreveport, LA 71103 Phone: 318-675-7261 Fax: 318-675-6878
Brian T Dillon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4500 Fax: 318-212-4143

Suneetha Koduru, MD - Medicare Emergency Medicine in Shreveport, LA