Geethadevi Koneru, DDS in Fort Wayne, IN - Medicare Dentist Provider

Geethadevi Koneru, DDS is a medicare enrolled "Dentist" provider in Fort Wayne, Indiana. Her current practice location is 5328 Coldwater Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (888) 988-4066.

Geethadevi Koneru is licensed to practice in Indiana (license number 12012392A) 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 1033593587.

Contact Information

	Geethadevi Koneru, DDS
	5328 Coldwater Rd, Fort Wayne, IN 46825-5445
	(888) 988-4066
	Not Available

Healthcare Provider's Profile

Full Name	Geethadevi Koneru
Gender	Female
Speciality	Dentist
Location	5328 Coldwater Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033593587
Provider Enumeration Date: 07/15/2015
Last Update Date: 07/15/2015

Medicare PECOS Information:

PECOS PAC ID: 8729396304
Enrollment ID: I20150930003049

Medical Identifiers

Medical identifiers for Geethadevi Koneru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033593587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12012392A (Indiana)	Primary

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. Geethadevi Koneru 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
Geethadevi Koneru, DDS 2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166 Ph: (888) 988-4066	Geethadevi Koneru, DDS 5328 Coldwater Rd, Fort Wayne, IN 46825-5445 Ph: (888) 988-4066

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Dentist in Fort Wayne, IN

Dr. Bryan David Braasch, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6821 Woodcrest Dr, Fort Wayne, IN 46815 Phone: 260-417-4981
Dr. Bryan Mcguigan Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5108 N Clinton St, Fort Wayne, IN 46825 Phone: 260-482-1551 Fax: 260-484-4537
James A Shupe Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805 Phone: 260-422-8419 Fax: 260-422-3591
Dr. Roger Paul Valliere, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1330 E State Blvd, Fort Wayne, IN 46805 Phone: 260-484-5614
Dr. Lora Wonderly, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4616 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-8596
Dr. Allison Bergdoll, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2121 E Dupont Rd, Suite D, Fort Wayne, IN 46825 Phone: 260-490-3554
Matthew Gotsch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 919 Florence Ave, Fort Wayne, IN 46808 Phone: 260-632-8486

Geethadevi Koneru, DDS - Medicare Dentist in Fort Wayne, IN