Sudhakar Ancha, Md - Medicare Primary Care in Joplin, MO

Sudhakar Ancha, Md is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in Joplin, Missouri. The current practice location for Sudhakar Ancha, Md is 2216 E 32nd Street, Ste 103, Joplin, Missouri. For appointments, you can reach them via phone at (417) 623-5250. The mailing address for Sudhakar Ancha, Md is 2216 E 32nd Street, Ste 103, Joplin, Missouri and phone number is (417) 623-5250.

Sudhakar Ancha, Md is licensed to practice in Missouri (license number 2005009627). The clinic also participates in the medicare program and its NPI number is 1295985968. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (417) 623-5250.

Contact Information

Sudhakar Ancha, Md
2216 E 32nd Street
Ste 103
Joplin
MO 64804
(417) 623-5250
(417) 623-8302

Primary Care Clinic Profile

Full NameSudhakar Ancha, Md
SpecialityInternal Medicine
Location2216 E 32nd Street, Joplin, Missouri
Authorized Official Name and PositionSudhakar Ancha (OWNER)
Authorized Official Contact4176235250
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sudhakar Ancha, Md
2216 E 32nd Street
Ste 103
Joplin
MO 64804

Ph: (417) 623-5250
Sudhakar Ancha, Md
2216 E 32nd Street
Ste 103
Joplin
MO 64804

Ph: (417) 623-5250

NPI Details:

NPI Number1295985968
Provider Enumeration Date09/30/2008
Last Update Date04/24/2014

Medicare PECOS Information:

Medicare PECOS PAC ID8224106273
Medicare Enrollment IDO20081004000070

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Medical Identifiers

Medical identifiers for Sudhakar Ancha, Md such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295985968NPI-NPPES
000093116OtherMOMEDICARE P10
1346395852OtherMOINDIVIDUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 2005009627 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sudhakar Ancha, Md acts as a billing entity for following providers:
Provider NameSudhakar Ancha
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1346395852
PECOS PAC ID: 2961446240
Enrollment ID: I20050617000028

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