Vijaya R Thekkeurumbil, MD in Springfield, TN

Vijaya R Thekkeurumbil, MD is a medicare enrolled "Emergency Medicine" physician in Springfield, Tennessee. His current practice location is 100 Northcrest Dr, Springfield, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 384-2411.

Vijaya R Thekkeurumbil is licensed to practice in Tennessee (license number 34848) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205871472.

Contact Information

	Vijaya R Thekkeurumbil, MD
	100 Northcrest Dr, Springfield, TN 37172-3927
	(615) 384-2411
	Not Available

Map and Direction

Physician's Profile

Full Name	Vijaya R Thekkeurumbil
Gender	Male
Speciality	Emergency Medicine
Location	100 Northcrest Dr, Springfield, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205871472
Provider Enumeration Date: 06/19/2006
Last Update Date: 10/07/2019

Medicare PECOS Information:

PECOS PAC ID: 2961453295
Enrollment ID: I20050203000806

Medical Identifiers

Medical identifiers for Vijaya R Thekkeurumbil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205871472	NPI	-	NPPES
10015751	Other	TN	OMNICARE TENNCARE
64029556	Medicaid	KY
3862507	Medicaid	TN
3862508	Medicaid	TN
3862509	Medicaid	TN
4013849	Other	TN	BLUE CROSS
P00384333	Other	TN	MEDICARE RAILROAD
4001211	Other	TN	BLUE CROSS
930113083	Other	TN	MEDICARE RAILROAD
21060	Other	TN	TLC TENNCARE
50004635	Other	KY	PASSPORT HEALTH PLAN
P00186020	Other	TN	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	44167 (Kentucky)	Secondary
207P00000X	Emergency Medicine	34848 (Tennessee)	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. Vijaya R Thekkeurumbil allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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. Vijaya R Thekkeurumbil 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
Vijaya R Thekkeurumbil, MD Po Box 633819, Cincinnati, OH 45263-0001 Ph: (865) 292-3000	Vijaya R Thekkeurumbil, MD 100 Northcrest Dr, Springfield, TN 37172-3927 Ph: (615) 384-2411

Reviews and Comments

Emergency Medicine Doctors in Springfield, TN

Love Anani, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536
Dr. Amber Allen Barry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411
Gregory Micklow, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 931-647-5034 Fax: 931-552-6663
Eric V. Morris, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-1536
Andrew Judson Panos, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Dr, Springfield, TN 37172 Phone: 615-384-2411
David W Lawhorn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Northcrest Drive, Northcrest Medical Center, Ed Department, Springfield, TN 37172 Phone: 931-647-5034 Fax: 931-552-6663
Reagan Fossler, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6659 Bethlehem Rd, Springfield, TN 37172 Phone: 615-878-0568

Vijaya R Thekkeurumbil, MD - Medicare Emergency Medicine in Springfield, TN