Supriya Immaneni, MD in Macon, GA - Medicare Dermatology

Supriya Immaneni, MD is a medicare enrolled "Dermatology" physician in Macon, Georgia. Her current practice location is 308 Coliseum Dr, St 200, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 742-2180.

Supriya Immaneni is licensed to practice in Georgia (license number 95284) 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 1497129399.

Contact Information

	Supriya Immaneni, MD
	308 Coliseum Dr, St 200, Macon, GA 31217-3865
	(478) 742-2180
	Not Available

Map and Direction

Physician's Profile

Full Name	Supriya Immaneni
Gender	Female
Speciality	Dermatology
Location	308 Coliseum Dr, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497129399
Provider Enumeration Date: 11/17/2015
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3274959556
Enrollment ID: I20230713000227

Medical Identifiers

Medical identifiers for Supriya Immaneni such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497129399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	95284 (Georgia)	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. Supriya Immaneni allows following entities to bill medicare on her behalf.

Entity Name	Skin Care Physicians Of Georgia, P.c..
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346351582 PECOS PAC ID: 7517850712 Enrollment ID: O20040203000364

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. Supriya Immaneni 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
Supriya Immaneni, MD 308 Coliseum Dr, St 200, Macon, GA 31217-3865 Ph: (478) 742-2180	Supriya Immaneni, MD 308 Coliseum Dr, St 200, Macon, GA 31217-3865 Ph: (478) 742-2180

Reviews and Comments

Dermatology Doctors in Macon, GA

Virginia Childs Hall, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 520 Charter Blvd, Suite 100, Macon, GA 31210 Phone: 478-477-6700 Fax: 478-757-8135
Dr. Judah Norman Greenberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr Ste 200, Macon, GA 31217 Phone: 478-314-0784 Fax: 478-745-2623
David E Kent, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr, Suite 200, Macon, GA 31217 Phone: 478-742-2180 Fax: 478-745-2623
Billie Luke Jackson, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 440 Charter Blvd, Suite 2201, Macon, GA 31210 Phone: 478-477-5575 Fax: 478-477-0707
Dr. Mitchell Schoen Herold, MD Dermatology Medicare: Medicare Enrolled Practice Location: 308 Coliseum Dr, Macon, GA 31217 Phone: 478-742-2180
David J Cohen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 Coliseum Dr, Suite 200, Macon, GA 31217 Phone: 478-742-2180 Fax: 478-745-2623

Supriya Immaneni, MD - Medicare Dermatology in Macon, GA