Lakshmi Kalyani Gudavalli, PT in Galesburg, IL - Medicare Physical Therapist Provider

Lakshmi Kalyani Gudavalli, PT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Galesburg, Illinois. Her current practice location is 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 344-1151.

Lakshmi Kalyani Gudavalli is licensed to practice in Illinois (license number 070020357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063814309.

Contact Information

	Lakshmi Kalyani Gudavalli, PT
	275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401
	(309) 344-1151
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lakshmi Kalyani Gudavalli
Gender	Female
Speciality	Physical Therapist - Orthopedic
Location	275 E Carl Sandburg Drive, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063814309
Provider Enumeration Date: 09/18/2014
Last Update Date: 09/18/2014

Medicare PECOS Information:

PECOS PAC ID: 2961929351
Enrollment ID: I20250508002963

Medical Identifiers

Medical identifiers for Lakshmi Kalyani Gudavalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063814309	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	070020357 (Illinois)	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. Lakshmi Kalyani Gudavalli allows following entities to bill medicare on her behalf.

Provider Name	Cortlyn Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1235725730 PECOS PAC ID: 8729495684 Enrollment ID: O20240718003252

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. Lakshmi Kalyani Gudavalli 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
Lakshmi Kalyani Gudavalli, PT 2834 Villa Ct, Bettendorf, IA 52722-7554 Ph: (563) 639-2486	Lakshmi Kalyani Gudavalli, PT 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 Ph: (309) 344-1151

Reviews and Comments

Physical Therapist in Galesburg, IL

Ms. Melissa Engebretson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 872 W Dayton St, Galesburg, IL 61401 Phone: 309-344-3400 Fax: 309-344-5040
Jacobus Anton Wellerdieck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600
Mrs. Jill Hickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 N Kellogg St, 3rd Floor, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456
Ms. Wendy Michelle Paul, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 Fax: 309-344-9675
Dr. Joshua S Adams, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600
Ms. Laura Carroll Brown, PT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600

Lakshmi Kalyani Gudavalli, PT - Medicare Physical Therapist in Galesburg, IL