Pradeep Kumar Selvaraj, MD is a medicare enrolled "Internal Medicine" physician in Woodville, Mississippi. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Field Memorial Community Hospital and his current practice location is
451 Bank St, Woodville, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 888-3421.
Pradeep Kumar Selvaraj is licensed to practice in Mississippi (license number 22109) 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 1053545913.
Physician's Profile
| Full Name | Pradeep Kumar Selvaraj |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 451 Bank St, Woodville, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Pradeep Kumar Selvaraj graduated from medical school in 1998
NPI Data:
- NPI Number: 1053545913
- Provider Enumeration Date: 05/07/2009
- Last Update Date: 07/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 4880841709
- Enrollment ID: I20120829000192
Medical Identifiers
Medical identifiers for Pradeep Kumar Selvaraj such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053545913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 22109 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Field Memorial Community Hospital | 0547248544 | 18 |
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. Pradeep Kumar Selvaraj allows following entities to bill medicare on his behalf.
| Entity Name | Field Memorial Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881648376
PECOS PAC ID: 0547248544
Enrollment ID: O20040707001237 |
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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. Pradeep Kumar Selvaraj 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 |
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Pradeep Kumar Selvaraj, MD
178 Highway 24 E,
Centreville, MS 39631-4171
Ph: (601) 890-0500 | Pradeep Kumar Selvaraj, MD
451 Bank St,
Woodville, MS 39669-6000
Ph: (601) 888-3421 |
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