| Vidyasagar Mokureddy, MD | |
|
100 John Roemmelt Dr, Horseheads, NY 14845-8301 | |
| (607) 795-2828 | |
| (607) 795-2829 |
| Full Name | Vidyasagar Mokureddy |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 33 Years |
| Location | 100 John Roemmelt Dr, Horseheads, New York |
| 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 |
|---|---|---|---|
| 1437224557 | NPI | - | NPPES |
| 0019347550001 | Medicaid | PA | |
| 02355668 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 225976 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arnot Ogden Medical Center | Elmira, NY | Hospital |
| Corning Hospital | Corning, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnot Medical Services Pllc | 0840450748 | 104 |
| Arnot Ogden Medical Center | 5395798417 | 199 |
| Entity Name | Arnot Ogden Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083605661 PECOS PAC ID: 5395798417 Enrollment ID: O20061003000664 |
| Entity Name | Arnot Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427326768 PECOS PAC ID: 0840450748 Enrollment ID: O20120330000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidyasagar Mokureddy, MD 571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Vidyasagar Mokureddy, MD 100 John Roemmelt Dr, Horseheads, NY 14845-8301 Ph: (607) 795-2828 |
Dr. Christopher Malvica, PTA, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 John Roemmelt Dr, Horseheads, NY 14845 Phone: 607-737-7804 | |
Stephen Eugene Tolly, MPT, MS ATC Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3344 Chambers Rd, Horseheads, NY 14845 Phone: 607-973-8959 |