Dr Surya K Nallari, MD in Demotte, IN - Medicare Internal Medicine

Dr Surya K Nallari, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Demotte, Indiana. His current practice location is 417 N Halleck St, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 987-6010.

Dr Surya K Nallari is licensed to practice in Indiana (license number 01037891) 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 1760478853.

Contact Information

	Dr Surya K Nallari, MD
	417 N Halleck St, Demotte, IN 46310-9419
	(219) 987-6010
	(219) 987-4546

Physician's Profile

Full Name	Dr Surya K Nallari
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	417 N Halleck St, Demotte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760478853
Provider Enumeration Date: 09/23/2005
Last Update Date: 03/16/2017

Medicare PECOS Information:

PECOS PAC ID: 9133141781
Enrollment ID: I20051222000490

Medical Identifiers

Medical identifiers for Dr Surya K Nallari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760478853	NPI	-	NPPES
100143080A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	01037891 (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. Dr Surya K Nallari 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
Dr Surya K Nallari, MD 1608 Lincolnway, Ste G, Valparaiso, IN 46383-5852 Ph: (219) 987-6010	Dr Surya K Nallari, MD 417 N Halleck St, Demotte, IN 46310-9419 Ph: (219) 987-6010

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Dr Surya K Nallari, MD - Medicare Internal Medicine in Demotte, IN