| Venkata K Chalasani, MD | |
|
812 Redskin Trl Ste A, Wapakoneta Primary Care, Wapakoneta, OH 45895-8545 | |
| (419) 738-4445 | |
| (419) 738-4601 |
| Full Name | Venkata K Chalasani |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 812 Redskin Trl Ste A, Wapakoneta, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164525952 | NPI | - | NPPES |
| H280550 | Other | OH | MEDICARE INDIVIDUAL PTAN |
| 0705982 | Other | OH | MEDICAID LEGACY |
| 9934723 | Other | OH | MEDICARE GROUP PTAN |
| 1356772255 | Other | OH | GROUP NPI -WAPAKONETA PRIMARY CARE |
| 2090115 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35074822 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Lake Health System | Saint marys, OH | Hospital |
| Lima Memorial Health System | Lima, OH | Hospital |
| Mercy Health-st Rita's Medical Center | Lima, OH | Hospital |
| Transitional Care Unit | Saint marys, OH | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jtdm Family Practice Llc | 2163415837 | 43 |
| Joint Township District Memorial Hospital | 3870491590 | 39 |
| Entity Name | Joint Township District Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
| Entity Name | Jtdm Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata K Chalasani, MD 200 Saint Clair Ave, Jtdm Family Practice, Llc, Saint Marys, OH 45885-2400 Ph: (419) 394-3387 | Venkata K Chalasani, MD 812 Redskin Trl Ste A, Wapakoneta Primary Care, Wapakoneta, OH 45895-8545 Ph: (419) 738-4445 |
Ashok Kumar Tripuraneni, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 S Blackhoof St Ste B, Wapakoneta, OH 45895 Phone: 419-998-8299 Fax: 419-998-8266 |