Surya Srividya Petla, MD in Morgantown, WV - Medicare Internal Medicine

Surya Srividya Petla, MD is a medicare enrolled "Internal Medicine" physician in Morgantown, West Virginia. Her current practice location is 6000 Memorial Church Dr Ste A, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 598-7313.

Surya Srividya Petla is licensed to practice in West Virginia (license number 31173) 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 1184074601.

Contact Information

	Surya Srividya Petla, MD
	6000 Memorial Church Dr Ste A, Morgantown, WV 26501-1503
	(304) 598-7313
	(304) 598-7319

Map and Direction

Physician's Profile

Full Name	Surya Srividya Petla
Gender	Female
Speciality	Internal Medicine
Location	6000 Memorial Church Dr Ste A, Morgantown, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184074601
Provider Enumeration Date: 06/15/2016
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2466748132
Enrollment ID: I20220907000023

Medical Identifiers

Medical identifiers for Surya Srividya Petla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184074601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	31173 (West Virginia)	Secondary
207R00000X	Internal Medicine	31173 (West Virginia)	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. Surya Srividya Petla allows following entities to bill medicare on her behalf.

Entity Name	Monongalia County General Hospital Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447673223 PECOS PAC ID: 9638073380 Enrollment ID: O20031124000459

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. Surya Srividya Petla 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
Surya Srividya Petla, MD 6000 Memorial Church Dr Ste A, Morgantown, WV 26501-1503 Ph: (304) 598-7313	Surya Srividya Petla, MD 6000 Memorial Church Dr Ste A, Morgantown, WV 26501-1503 Ph: (304) 598-7313

Reviews and Comments

Internal Medicine Doctors in Morgantown, WV

Rohma Shamsi, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Drive, Morgantown, WV 26506 Phone: 304-293-4125
Islam Younes, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273
Dr. David Weissman, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Drive, Morgantown, WV 26506 Phone: 304-598-4800 Fax: 304-293-6963
Dr. Madhavi Kadiyala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-598-4000
Dr. Swapna Gayam, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Morgantown, WV 26506 Phone: 304-293-4123 Fax: 304-293-2135
Monika Maximilliane Holbein, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-594-4000
Nour Daboul, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273

Surya Srividya Petla, MD - Medicare Internal Medicine in Morgantown, WV