| Vidya Kollu, MD | |
|
576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, TN 37772-5676 | |
| (865) 271-6095 | |
| Not Available |
| Full Name | Vidya Kollu |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 15 Years |
| Location | 576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710346671 | NPI | - | NPPES |
| Q095555 | Medicaid | TN | |
| 1710346671 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carris Health Llc | Willmar, MN | Hospital |
| Carris Health - Redwood, Llc | Redwood falls, MN | Hospital |
| Swift County Benson Hospital | Benson, MN | Hospital |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Fort Loudoun Medical Center | Lenoir city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carris Health Llc | 7012274228 | 38 |
| Thompson Oncology Group | 0941246771 | 61 |
| Allina Health System | 4587573613 | 3861 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidya Kollu, MD 1345 W Central Park Ave, Davenport, IA 52804-1844 Ph: (563) 421-1900 | Vidya Kollu, MD 576 Fort Loudon Medical Center Dr Ste 203, Lenoir City, TN 37772-5676 Ph: (865) 271-6095 |
Dr. Robert James Boehm, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 550 Fort Loudoun Medical Center Dr, Lenoir City, TN 37772 Phone: 865-271-6000 | |
Dr. Milan N Sheth, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 689 Medical Park Dr, Ste 301, Lenoir City, TN 37772 Phone: 865-988-6330 Fax: 865-988-8772 | |
Dr. Stephen D Pershing, M.D. LLC Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1559 Highland Park Dr, Lenoir City, TN 37772 Phone: 865-635-8382 Fax: 423-635-8388 | |
Dr. Robert Sherwood Sullivan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 198 Morning Point Dr, Lenoir City, TN 37772 Phone: 865-675-5490 Fax: 865-338-5899 | |
Joseph C. Petit, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 576 Fort Loudoun Medical Center Dr, Ste 200, Lenoir City, TN 37772 Phone: 865-988-9970 Fax: 865-271-6621 | |
Moez R Premji, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 308 E Bdwy, Lenoir City, TN 37771 Phone: 865-988-5774 Fax: 865-988-5776 | |
Dr. Mary Louise Mortimer, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 Phone: 865-988-1916 Fax: 865-988-1914 |