Dr Divya Lakshmi Indrakanti, MD - Medicare Ophthalmology in Jackson, TN

Dr Divya Lakshmi Indrakanti, MD is a medicare enrolled "Ophthalmology" physician in Jackson, Tennessee. Her current practice location is 112 Stonebridge Blvd, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 664-1994.

Dr Divya Lakshmi Indrakanti is licensed to practice in Tennessee (license number MD0000069208) 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 1396208781.

Contact Information

Dr Divya Lakshmi Indrakanti, MD
112 Stonebridge Blvd,
Jackson, TN 38305-2038
(731) 664-1994
Not Available



Physician's Profile

Full NameDr Divya Lakshmi Indrakanti
GenderFemale
SpecialityOphthalmology
Location112 Stonebridge Blvd, Jackson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396208781
  • Provider Enumeration Date: 04/11/2019
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709119936
  • Enrollment ID: I20231026001503

Medical Identifiers

Medical identifiers for Dr Divya Lakshmi Indrakanti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396208781NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology MD0000069208 (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. Dr Divya Lakshmi Indrakanti allows following entities to bill medicare on her behalf.
Entity NameWest Tennessee Eye Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811054232
PECOS PAC ID: 4789780495
Enrollment ID: O20081031000072

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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 Divya Lakshmi Indrakanti 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 Divya Lakshmi Indrakanti, MD
198 Moses Dr,
Jackson, TN 38305-6938

Ph: (513) 652-0502
Dr Divya Lakshmi Indrakanti, MD
112 Stonebridge Blvd,
Jackson, TN 38305-2038

Ph: (731) 664-1994

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Ophthalmology Doctors in Jackson, TN

Stephen Dumas Hammond Jr., MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 668 Skyline Dr, Jackson, TN 38301
Phone: 731-424-2414    
Dr. William Bradford Priester, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 609 Skyline Dr, Jackson, TN 38301
Phone: 731-427-7799    Fax: 731-427-1476
Dr. Mark Roy Bateman, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 668 Skyline Dr, Jackson, TN 38301
Phone: 731-424-2414    Fax: 731-424-4444
Mrs. Hilary C. Grissom, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 668 Skyline Dr, Jackson, TN 38301
Phone: 731-424-2414    Fax: 731-424-4444
James Alfred Price Jr., MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 668 Skyline Drive, Jackson, TN 38301
Phone: 731-424-2414    
Laura L Dipuma, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 2027 Greystone Sq, Jackson, TN 38305
Phone: 731-668-6882    Fax: 731-668-6882

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