Dr Bose S Mikkilineni, MD FACS - Medicare Surgery in Beckley, WV

Dr Bose S Mikkilineni, MD FACS is a medicare enrolled "Surgery" physician in Beckley, West Virginia. His current practice location is 419 Carriage Dr, Beckley, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 253-8416.

Dr Bose S Mikkilineni is licensed to practice in West Virginia (license number 12282) 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 1407840549.

Contact Information

Dr Bose S Mikkilineni, MD FACS
419 Carriage Dr,
Beckley, WV 25801-2805
(304) 253-8416
(866) 461-4726



Physician's Profile

Full NameDr Bose S Mikkilineni
GenderMale
SpecialitySurgery
Location419 Carriage Dr, Beckley, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407840549
  • Provider Enumeration Date: 09/05/2005
  • Last Update Date: 06/04/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2860583192
  • Enrollment ID: I20070801000238

Medical Identifiers

Medical identifiers for Dr Bose S Mikkilineni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407840549NPI-NPPES
001720379OtherWVBCBS
020002556OtherWVRAILROAD MEDICARE
151389100OtherWVFEDERAL COMPENSATION #
550631859OtherWVTRICARE
68790OtherWV68790
231835OtherWVMAMSI
49236OtherWVANTHEM BCBS
0128502000MedicaidWV
151389100OtherWVACS
6441144OtherWVCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 12282 (West Virginia)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. Dr Bose S Mikkilineni 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 AddressPractice Location Address
Dr Bose S Mikkilineni, MD FACS
419 Carriage Dr,
Beckley, WV 25801-2805

Ph: (304) 253-8416
Dr Bose S Mikkilineni, MD FACS
419 Carriage Dr,
Beckley, WV 25801-2805

Ph: (304) 253-8416

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Surgery Doctors in Beckley, WV

Dr. Albert Francois Olivier, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 N Heights Dr, Beckley, WV 25801
Phone: 681-207-7192    Fax: 304-253-6685
Dr. Sarang Kashyap, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Stanaford Rd, Beckley, WV 25801
Phone: 304-254-2660    
Dr. Nicole Lia Whatley, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2962 Robert C Byrd Dr, Beckley, WV 25801
Phone: 681-207-7563    Fax: 304-207-7559
Kumar Rai, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 250 Stanaford Rd, Suite 202, Beckley, WV 25801
Phone: 304-255-3603    Fax: 304-255-5862
Kamal Kumar Sachdeva, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 306 Stanaford Rd, Beckley, WV 25801
Phone: 304-255-3000    
Dr. Joseph Kevin Dickenson, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2401 S Kanawha St, Suite 104, Beckley, WV 25801
Phone: 304-894-8211    Fax: 304-894-8213
Obi Agborbesong, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 250 Stanaford Rd, Beckley, WV 25801
Phone: 304-254-2660    

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