| Venkata S Erella, MD | |
|
11851 Jollyville Rd, Suite#104, Austin, TX 78759 | |
| (512) 730-3885 | |
| (512) 730-3875 |
| Full Name | Venkata S Erella |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 11851 Jollyville Rd, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255380671 | NPI | - | NPPES |
| 0000000525700 | Other | IN | ANTHEM BLUE SHIELD |
| 200863480 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 01063531A (Indiana) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 01063531A (Indiana) | Secondary |
| Entity Name | Altus Exceptional Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730869207 PECOS PAC ID: 0042662462 Enrollment ID: O20240122000381 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Entity Name | Austin Er Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376114587 PECOS PAC ID: 0648715680 Enrollment ID: O20240715000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Venkata S Erella, MD Po Box 201450, Austin, TX 78720 Ph: (512) 730-3885 | Venkata S Erella, MD 11851 Jollyville Rd, Suite#104, Austin, TX 78759 Ph: (512) 730-3885 |
Sally Matika, PA-C Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6818 Austin Center Blvd Ste 204, Austin, TX 78731 Phone: 512-867-6211 | |
Mr. James Thomas Robison Iv, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Cave Rd, Suite J-200, Austin, TX 78746 Phone: 512-450-1077 Fax: 512-450-1817 | |
Kelly Eugene Tjelmeland, M D Plastic Surgery Medicare: Medicare Enrolled Practice Location: 4220 Bull Creek Rd, Austin, TX 78731 Phone: 512-617-7500 | |
Johnny U. Franco, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10622 Burnet Road Ste 100, Austin, TX 78758 Phone: 512-334-9917 Fax: 512-870-9343 | |
E Richard Parker, M. D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4220 Bull Creek Rd, Austin, TX 78731 Phone: 512-617-7500 | |
Dr. Sanjay Kumar Sharma, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 N Ih 35, Suite 320, Austin, TX 78701 Phone: 512-324-8320 Fax: 512-324-8323 | |
Dr. Dustin Leon Reid, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 W 38th St, Suite 401, Austin, TX 78705 Phone: 512-371-8817 Fax: 512-371-8819 |