Viswanatha R Mukkamalla, PHYSICAL THERAPIST in Southfield, MI

Viswanatha R Mukkamalla, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Southfield, Michigan. His current practice location is 17220 W 12 Mile Rd Ste 140, Southfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 281-3428.

Viswanatha R Mukkamalla is licensed to practice in Michigan (license number 5501013960) 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 1629572805.

Contact Information

	Viswanatha R Mukkamalla, PHYSICAL THERAPIST
	17220 W 12 Mile Rd Ste 140, Southfield, MI 48076-2114
	(248) 281-3428
	(248) 281-3478

Map and Direction

Healthcare Provider's Profile

Full Name	Viswanatha R Mukkamalla
Gender	Male
Speciality	Physical Therapist
Location	17220 W 12 Mile Rd Ste 140, Southfield, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629572805
Provider Enumeration Date: 03/21/2018
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 1052642279
Enrollment ID: I20191018001298

Medical Identifiers

Medical identifiers for Viswanatha R Mukkamalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629572805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Michigan)	Secondary
225100000X	Physical Therapist	5501013960 (Michigan)	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. Viswanatha R Mukkamalla allows following entities to bill medicare on his behalf.

Provider Name	We Care Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1801317409 PECOS PAC ID: 2769721703 Enrollment ID: O20190308001166

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. Viswanatha R Mukkamalla 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
Viswanatha R Mukkamalla, PHYSICAL THERAPIST 41667 Steinbeck Gln, Novi, MI 48377-2869 Ph: () -	Viswanatha R Mukkamalla, PHYSICAL THERAPIST 17220 W 12 Mile Rd Ste 140, Southfield, MI 48076-2114 Ph: (248) 281-3428

Reviews and Comments

Physical Therapist in Southfield, MI

Ashtiaq Khokhar, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100
Michelle Hall, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100
Thomas Chung, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360
Michigan Health & Rehabilitation Services, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 26900 Franklin Rd, Southfield, MI 48033 Phone: 248-301-6300 Fax: 248-366-9198

Viswanatha R Mukkamalla, PHYSICAL THERAPIST - Medicare Physical Therapist in Southfield, MI