Dr Kushna K Damallie, MD - Medicare Obstetrics/gynecology in Clarksdale, MS

Dr Kushna K Damallie, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Clarksdale, Mississippi. He went to Boston University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Progressive Medical Management Of Batesville Llc, Womans Clinic, A Professional Association and his current practice location is 2000 N State St, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 627-7361.

Dr Kushna K Damallie is licensed to practice in Tennessee (license number 35758) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861488215.

Contact Information

Dr Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100
(662) 627-7361
(662) 627-1158



Physician's Profile

Full NameDr Kushna K Damallie
GenderMale
SpecialityObstetrics/gynecology
Experience25 Years
Location2000 N State St, Clarksdale, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kushna K Damallie attended and graduated from Boston University School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1861488215
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 01/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103984588
  • Enrollment ID: I20220602003104

Medical Identifiers

Medical identifiers for Dr Kushna K Damallie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861488215NPI-NPPES
09035591MedicaidMS
150159001OtherMSARK MEDICAID
82604OtherMSARK BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 35758 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Mississippi Medical CenterClarksdale, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Progressive Medical Management Of Batesville Llc034558322533
Womans Clinic, A Professional Association12542280676

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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 Kushna K Damallie allows following entities to bill medicare on his behalf.
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662

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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 Kushna K Damallie 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 Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100

Ph: (662) 627-7361
Dr Kushna K Damallie, MD
2000 N State St,
Clarksdale, MS 38614-6100

Ph: (662) 627-7361

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Obstetrics & Gynecology Doctors in Clarksdale, MS

Dr. Erica R Balthrop, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N State St, Clarksdale, MS 38614
Phone: 662-627-7361    Fax: 662-627-1158
Dr. Delphia M Hord, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N State St, Clarksdale, MS 38614
Phone: 662-627-7361    Fax: 662-627-1158

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