Dr Sujana Gottumukkala, MD - Medicare Radiology in Portland, ME

Dr Sujana Gottumukkala, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 482-7800.

Dr Sujana Gottumukkala is licensed to practice in Maine (license number MD26872) 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 1134613730.

Contact Information

Dr Sujana Gottumukkala, MD
22 Bramhall St,
Portland, ME 04102-3134
(207) 482-7800
(207) 482-7898



Physician's Profile

Full NameDr Sujana Gottumukkala
GenderFemale
SpecialityRadiology - Radiation Oncology
Location22 Bramhall St, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134613730
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496002875
  • Enrollment ID: I20230801003926

Medical Identifiers

Medical identifiers for Dr Sujana Gottumukkala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134613730NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 25239 (New Hampshire)Secondary
2085R0001XRadiology - Radiation Oncology MD26872 (Maine)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 Sujana Gottumukkala allows following entities to bill medicare on her behalf.
Entity NameSpectrum Healthcare Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669488011
PECOS PAC ID: 7618871245
Enrollment ID: O20040423000266

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Entity NameSpectrum Healthcare Partners Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669488011
PECOS PAC ID: 7618871245
Enrollment ID: O20040423000305

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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 Sujana Gottumukkala 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 Sujana Gottumukkala, MD
324 Gannett Dr Ste 200,
South Portland, ME 04106-3266

Ph: (207) 482-7800
Dr Sujana Gottumukkala, MD
22 Bramhall St,
Portland, ME 04102-3134

Ph: (207) 482-7800

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Digital security is a key requirement in our product designs, especially in markets such as healthcare where the design is complete long before final regulatory approval. From a commercial point of view, ignoring data privacy, device authentication, and anti-counterfeit at design stage is no longer a tenable position for a connected product that produces sensitive patient data – even if it is nominally pseudonomised.

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Radiology Doctors in Portland, ME

Michael O'malley Quinn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Elena Leah Resnick, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Matthew D Ralston, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2571    
Jerald Christopher Kuhn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Whitney Beeler, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-4735    Fax: 207-662-6388
David Russell Langdon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 144 State St, Portland, ME 04101
Phone: 207-879-3000    
Ethan M Dobrow, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 22 Bramhall St, Portland, ME 04102
Phone: 207-662-2526    

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