Vivekananda Varma Datla, MD, - Medicare Hospitalist in Ashland, KY

Vivekananda Varma Datla, MD, is a medicare enrolled "Hospitalist" physician in Ashland, Kentucky. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Kings Daughters Medical Specialties Inc and his current practice location is 2201 Lexington Ave, Ashland, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 408-4000.

Vivekananda Varma Datla is licensed to practice in Kentucky (license number 43412) 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 1154524148.

Contact Information

Vivekananda Varma Datla, MD,
2201 Lexington Ave,
Ashland, KY 41101-2843
(606) 408-4000
(606) 408-6825



Physician's Profile

Full NameVivekananda Varma Datla
GenderMale
SpecialityHospitalist
Experience24 Years
Location2201 Lexington Ave, Ashland, Kentucky
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:
  • Vivekananda Varma Datla graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1154524148
  • Provider Enumeration Date: 06/07/2007
  • Last Update Date: 05/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597880633
  • Enrollment ID: I20100914000283

Medical Identifiers

Medical identifiers for Vivekananda Varma Datla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154524148NPI-NPPES
3066524MedicaidOH
7100129360MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 43412 (Kentucky)Secondary
208M00000XHospitalist 43412 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters' Medical CenterAshland, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kings Daughters Medical Specialties Inc6103968029328

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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. Vivekananda Varma Datla allows following entities to bill medicare on his behalf.
Entity NameKings Daughters Medical Specialties Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710215736
PECOS PAC ID: 6103968029
Enrollment ID: O20100217000538

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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. Vivekananda Varma Datla 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
Vivekananda Varma Datla, MD,
Po Box 2379,
Ashland, KY 41105-2379

Ph: (606) 408-6200
Vivekananda Varma Datla, MD,
2201 Lexington Ave,
Ashland, KY 41101-2843

Ph: (606) 408-4000

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Hospitalist Doctors in Ashland, KY

Michael Banks,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    
Sara Anne Davis, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    Fax: 606-408-6825
Kayla Diann Bailey, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    
Joshua Bryant, D.O.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    
Emilio Punzal Jr., MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    Fax: 606-408-6625
Dr. Allen T Cochran, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 2201 Lexington Ave, Ashland, KY 41101
Phone: 606-408-4000    

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