Damoder R Kesireddy, MD in Bryan, OH - Medicare Internal Medicine

Damoder R Kesireddy, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Bryan, Ohio. His current practice location is 433 W High St, Bryan, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 630-2028.

Damoder R Kesireddy is licensed to practice in Ohio (license number 35046277) 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 1134173925.

Contact Information

	Damoder R Kesireddy, MD
	433 W High St, Bryan, OH 43506-1690
	(419) 630-2028
	(419) 630-2029

Map and Direction

Physician's Profile

Full Name	Damoder R Kesireddy
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	433 W High St, Bryan, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134173925
Provider Enumeration Date: 05/19/2006
Last Update Date: 07/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0941351597
Enrollment ID: I20090622000704

Medical Identifiers

Medical identifiers for Damoder R Kesireddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134173925	NPI	-	NPPES
458277	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	35046277 (Ohio)	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. Damoder R Kesireddy allows following entities to bill medicare on his behalf.

Entity Name	Community Hospitals And Wellness Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225167893 PECOS PAC ID: 7517878093 Enrollment ID: O20040226001067

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. Damoder R Kesireddy 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
Damoder R Kesireddy, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Damoder R Kesireddy, MD 433 W High St, Bryan, OH 43506-1690 Ph: (419) 630-2028

Reviews and Comments

Internal Medicine Doctors in Bryan, OH

Lamberto Diaz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438
Divya Goutam Vijendra, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Dr. Scott A. Frederick, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Dr. Michael D Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2028 Fax: 419-630-2029
Dr. Philip A Lowry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-630-2291 Fax: 419-630-2181
Mrs. Alyssa Rose Motter, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 E Wilson St, Bryan, OH 43506 Phone: 419-553-4935

Damoder R Kesireddy, MD - Medicare Internal Medicine in Bryan, OH