Venkata Sundara Chakrapani Adavikolanu, MD in Green Bay, WI - Medicare Internal Medicine

Venkata Sundara Chakrapani Adavikolanu, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Green Bay, Wisconsin. His current practice location is 2020 Riverside Dr Ste 200, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 433-9920.

Venkata Sundara Chakrapani Adavikolanu is licensed to practice in Wisconsin (license number 77296-20) 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 1568804078.

Contact Information

	Venkata Sundara Chakrapani Adavikolanu, MD
	2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300
	(920) 433-9920
	(920) 433-9927

Physician's Profile

Full Name	Venkata Sundara Chakrapani Adavikolanu
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	2020 Riverside Dr Ste 200, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568804078
Provider Enumeration Date: 07/25/2013
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5799063772
Enrollment ID: I20161026000294

Medical Identifiers

Medical identifiers for Venkata Sundara Chakrapani Adavikolanu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568804078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	77296-20 (Wisconsin)	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. Venkata Sundara Chakrapani Adavikolanu allows following entities to bill medicare on his behalf.

Entity Name	Southcoast Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138

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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. Venkata Sundara Chakrapani Adavikolanu 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
Venkata Sundara Chakrapani Adavikolanu, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7210	Venkata Sundara Chakrapani Adavikolanu, MD 2020 Riverside Dr Ste 200, Green Bay, WI 54301-2300 Ph: (920) 433-9920

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Yaw D Berko, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700
Lee James Klemens, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Kevin L Mortara, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659
William T Witmer, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305
Jay Matthew Salmon, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100
Dr. Alay Mansurov, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659

Venkata Sundara Chakrapani Adavikolanu, MD - Medicare Internal Medicine in Green Bay, WI

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Bionovo announces voluntary decision to delist from NASDAQ

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Internal Medicine Doctors in Green Bay, WI