Sudheer Tangella, MD - Medicare Family Practice in Jackson, MS

Sudheer Tangella, MD is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medical Foundation Of Central Mississippi Inc and his current practice location is 878 Lakeland Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-6800.

Sudheer Tangella is licensed to practice in Mississippi (license number 836-L) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124382536.

Contact Information

Sudheer Tangella, MD
878 Lakeland Dr,
Jackson, MS 39216-4644
(601) 984-6800
(601) 984-6811



Physician's Profile

Full NameSudheer Tangella
GenderMale
SpecialityFamily Practice
Experience18 Years
Location878 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sudheer Tangella graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1124382536
  • Provider Enumeration Date: 06/29/2012
  • Last Update Date: 06/29/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8527382415
  • Enrollment ID: I20151205000078

Medical Identifiers

Medical identifiers for Sudheer Tangella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124382536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 836-L (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mississippi Homecare Of JacksonJackson, MSHome health agency
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Foundation Of Central Mississippi Inc1153216411233

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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. Sudheer Tangella allows following entities to bill medicare on his behalf.
Entity NameMedical Foundation Of Central Mississippi Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992774814
PECOS PAC ID: 1153216411
Enrollment ID: O20040217000380

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Entity NameMississippi Baptist Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467589556
PECOS PAC ID: 9234026600
Enrollment ID: O20110707000181

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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. Sudheer Tangella 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
Sudheer Tangella, MD
Po Box 4999,
Jackson, MS 39296-4999

Ph: (601) 984-5426
Sudheer Tangella, MD
878 Lakeland Dr,
Jackson, MS 39216-4644

Ph: (601) 984-6800

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Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204
Phone: 601-914-0163    Fax: 601-914-0170
Mrs. Christian Fortenberry, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216
Phone: 601-200-4560    
Dr. Marcia L Howard,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216
Phone: 601-984-5426    Fax: 601-984-6889
Stephen Paul Epperson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-988-5281    Fax: 601-974-5241
Deborah O'bryan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-4778    Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-981-7198    Fax: 601-981-6616
Mrs. Sydney Mccary Ponder,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1325 E Fortification St, Jackson, MS 39202
Phone: 601-354-4488    

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