Supraja R Gulla, MD - Medicare Internal Medicine in Georgetown, TX

Supraja R Gulla, MD is a medicare enrolled "Internal Medicine" physician in Georgetown, Texas. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Scott And White Clinic and her current practice location is 4945 Williams Dr, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at (317) 962-2894.

Supraja R Gulla is licensed to practice in Texas (license number T4929) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104076389.

Contact Information

Supraja R Gulla, MD
4945 Williams Dr,
Georgetown, TX 78633-2008
(317) 962-2894
Not Available

Map and Direction




Physician's Profile

Full NameSupraja R Gulla
GenderFemale
SpecialityInternal Medicine
Experience20 Years
Location4945 Williams Dr, Georgetown, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Supraja R Gulla graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1104076389
  • Provider Enumeration Date: 09/24/2008
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315116845
  • Enrollment ID: I20221020001429

Medical Identifiers

Medical identifiers for Supraja R Gulla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104076389NPI-NPPES
201037090MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 125.054210 (Illinois)Secondary
207R00000XInternal Medicine 01069786A (Indiana)Secondary
208M00000XHospitalist 01069786A (Indiana)Secondary
207R00000XInternal Medicine T4929 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor Scott & White Medical Center - Round RockRound rock, TXHospital
Baylor Scott & White Pavilion - TempleTemple, TXHospital
Baylor Scott & White Medical Center PflugervillePflugerville, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scott And White Clinic81239236042131

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. Supraja R Gulla allows following entities to bill medicare on her behalf.
Entity NameScott & White Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640

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. Supraja R Gulla 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 AddressPractice Location Address
Supraja R Gulla, MD
Po Box 844658,
Dallas, TX 75284-4658

Ph: () -
Supraja R Gulla, MD
4945 Williams Dr,
Georgetown, TX 78633-2008

Ph: (317) 962-2894

Reviews and Comments


Internal Medicine Doctors in Georgetown, TX

Dr. Jennifer Lynn Clark, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4945 Williams Dr, Georgetown, TX 78628
Phone: 512-819-0500    
Abhijeet V Koli, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626
Phone: 512-869-2566    Fax: 512-869-7434
Anita D'mello, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4945 Williams Dr, Georgetown, TX 78633
Phone: 512-819-0500    
Robert F Denyer, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626
Phone: 512-869-2566    Fax: 512-869-7434
Lori L Palazzo, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626
Phone: 512-863-3343    Fax: 512-869-4978
Mithula Rao Gopalam,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4945 Williams Dr, Georgetown, TX 78633
Phone: 512-819-0500    Fax: 512-819-0520

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.