Sree Chellappan, MD - Medicare Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Sree Chellappan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Pine Bluff, Arkansas. Her current practice location is 1601 W 40th Ave Ste 100, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-6000.

Sree Chellappan is licensed to practice in * (Not Available) (license number ) 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 1073133179.

Contact Information

Sree Chellappan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069
(870) 541-6000
(870) 541-6010



Physician's Profile

Full NameSree Chellappan
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location1601 W 40th Ave Ste 100, Pine Bluff, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073133179
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 09/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3779968276
  • Enrollment ID: I20220920001817

Medical Identifiers

Medical identifiers for Sree Chellappan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073133179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine E15648 (Arkansas)Secondary
207Q00000XFamily Medicine E15648 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Sree Chellappan allows following entities to bill medicare on her behalf.
Entity NameArkansas Emergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774630
PECOS PAC ID: 3274681341
Enrollment ID: O20090501000014

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Entity NameEss Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881967305
PECOS PAC ID: 6103085295
Enrollment ID: O20120308000726

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Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647

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Entity NameSoutheast Arkansas Hospitalists Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912374018
PECOS PAC ID: 9537479605
Enrollment ID: O20151103000750

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Entity NameHospital Care Consultants Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316497464
PECOS PAC ID: 5395024475
Enrollment ID: O20161112000042

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Entity NameEss Of Fordyce Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821547977
PECOS PAC ID: 1254611601
Enrollment ID: O20161201001070

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Entity NameHcc Of Warren Hospitalist, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326641606
PECOS PAC ID: 5698189280
Enrollment ID: O20210121002187

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Entity NameHcc Of Warren Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952904237
PECOS PAC ID: 6406260371
Enrollment ID: O20210204001426

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Entity NameEss Of Mcgehee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639822653
PECOS PAC ID: 0749677516
Enrollment ID: O20220426000293

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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. Sree Chellappan 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
Sree Chellappan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6000
Sree Chellappan, MD
1601 W 40th Ave Ste 100,
Pine Bluff, AR 71603-6069

Ph: (870) 541-6000

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