Raviteja Naga Devalla, MD - Medicare Surgery in Dakota Dunes, SD

Raviteja Naga Devalla, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Dakota Dunes, South Dakota. His current practice location is 345 W Steamboat Dr Ste 601, Dakota Dunes, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 217-5617.

Raviteja Naga Devalla is licensed to practice in South Dakota (license number 14123) 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 1073975298.

Contact Information

Raviteja Naga Devalla, MD
345 W Steamboat Dr Ste 601,
Dakota Dunes, SD 57049-5287
(605) 217-5617
(605) 217-5533



Physician's Profile

Full NameRaviteja Naga Devalla
GenderMale
SpecialitySurgery - Vascular Surgery
Location345 W Steamboat Dr Ste 601, Dakota Dunes, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073975298
  • Provider Enumeration Date: 03/26/2016
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971881327
  • Enrollment ID: I20230616000369

Medical Identifiers

Medical identifiers for Raviteja Naga Devalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073975298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 14123 (South Dakota)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. Raviteja Naga Devalla allows following entities to bill medicare on his behalf.
Entity NameVascular & Interventional Radiology Of Siouxland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225636129
PECOS PAC ID: 7113330663
Enrollment ID: O20201230002359

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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. Raviteja Naga Devalla 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
Raviteja Naga Devalla, MD
345 W Steamboat Dr Ste 601,
Dakota Dunes, SD 57049-5287

Ph: (605) 217-5617
Raviteja Naga Devalla, MD
345 W Steamboat Dr Ste 601,
Dakota Dunes, SD 57049-5287

Ph: (605) 217-5617

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Surgery Doctors in Dakota Dunes, SD

Dr. Craig Robert Nemechek, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515
Dr. Keith A. Vollstedt, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515
Dr. Paul W. Wolpert, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 612 N Sioux Point Rd, Ste 400, Dakota Dunes, SD 57049
Phone: 605-232-6353    Fax: 605-232-6500
Dr. Yorell Manon-matos, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 575 Sioux Point Road, Dakota Dunes, SD 57049
Phone: 605-217-2667    Fax: 605-217-2900
Paul E Johnson, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 705 Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515
Dr. Lawrence Thomas Volz, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049
Phone: 605-217-5500    Fax: 605-217-5515

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