Sridevi Panchamukhi, MD - Medicare Obstetrics & Gynecology in Anna, IL

Sridevi Panchamukhi, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Anna, Illinois. Her current practice location is 513 N Main St, Anna, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 833-4471.

Sridevi Panchamukhi is licensed to practice in Illinois (license number 036-101393) 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 1831197656.

Contact Information

Sridevi Panchamukhi, MD
513 N Main St,
Anna, IL 62906-1668
(618) 833-4471
(618) 833-6267



Physician's Profile

Full NameSridevi Panchamukhi
GenderFemale
SpecialityObstetrics & Gynecology
Location513 N Main St, Anna, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831197656
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 04/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8527190057
  • Enrollment ID: I20190107002632

Medical Identifiers

Medical identifiers for Sridevi Panchamukhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831197656NPI-NPPES
055761OtherILHEALTH ALLIANCE
H12137OtherILCHAMPVA
422714OtherILHEALTHLINK
H12137OtherILBLUE CROSS BLUE SHIELD
H12137OtherILUNITED HEALTHCARE RR MEDI
036-101393MedicaidIL
036101393OtherILIDPA FEE FOR SERVICE
H12137OtherILTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 036-101393 (Illinois)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. Sridevi Panchamukhi allows following entities to bill medicare on her behalf.
Entity NameObhg Texas Holdings Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279

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Entity NameSp Obgyn Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659056968
PECOS PAC ID: 1052765013
Enrollment ID: O20230925001238

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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. Sridevi Panchamukhi 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
Sridevi Panchamukhi, MD
513 N Main St,
Anna, IL 62906-1668

Ph: (618) 833-4471
Sridevi Panchamukhi, MD
513 N Main St,
Anna, IL 62906-1668

Ph: (618) 833-4471

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Obstetrics & Gynecology Doctors in Anna, IL


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