Daryl Sudasena, - Medicare Cardiovascular Disease (cardiology) in Olympia, WA

Daryl Sudasena, is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Olympia, Washington. He went to Saint Louis University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Olympia Multi Specialty Clinic and his current practice location is 406 Black Hills Ln Sw, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 754-1735.

Daryl Sudasena is licensed to practice in Washington (license number MD61145791) 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 1295153880.

Contact Information

Daryl Sudasena,
406 Black Hills Ln Sw,
Olympia, WA 98502-8143
(360) 754-1735
Not Available

Map and Direction




Physician's Profile

Full NameDaryl Sudasena
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience13 Years
Location406 Black Hills Ln Sw, Olympia, Washington
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:
  • Daryl Sudasena attended and graduated from Saint Louis University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1295153880
  • Provider Enumeration Date: 04/01/2014
  • Last Update Date: 05/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012132020
  • Enrollment ID: I20210810001151

Medical Identifiers

Medical identifiers for Daryl Sudasena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295153880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine R9445 (Texas)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 307858 (New York)Secondary
207RI0011XInternal Medicine - Interventional Cardiology MD61145791 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Capital Medical CenterOlympia, WAHospital
Providence St Peter HospitalOlympia, WAHospital
Providence Centralia HospitalCentralia, WAHospital
Willapa Harbor HospitalSouth bend, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olympia Multi Specialty Clinic478957109214

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. Daryl Sudasena allows following entities to bill medicare on his behalf.
Entity NameOlympia Multi Specialty Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356386783
PECOS PAC ID: 4789571092
Enrollment ID: O20040302000502

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. Daryl Sudasena 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
Daryl Sudasena,
406 Black Hills Ln Sw,
Olympia, WA 98502-8143

Ph: (360) 754-1735
Daryl Sudasena,
406 Black Hills Ln Sw,
Olympia, WA 98502-8143

Ph: (360) 754-1735

Reviews and Comments


Internal Medicine Doctors in Olympia, WA

Miss Tui Agaapapalagi Lauilefue, MD
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Phone: 360-596-4899    Fax: 360-596-4889
Monique C. Semien, MD
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Dr. Philip William Berger, D.O.
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Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502
Phone: 360-754-1737    Fax: 360-704-3408
Mr. Robert Love Huck, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503
Phone: 360-413-8272    Fax: 360-413-8878
Dr. Ngozi Achebe,
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Medicare: Accepting Medicare Assignments
Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502
Phone: 360-754-5858    Fax: 360-704-4751
Dr. Robert C Tomford, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506
Phone: 360-413-8121    Fax: 360-413-8865
Brad Allan Howard, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506
Phone: 360-413-8525    Fax: 360-412-6477

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.