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

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 Name	Daryl Sudasena
Gender	Male
Speciality	Cardiovascular Disease (cardiology)
Experience	13 Years
Location	406 Black Hills Ln Sw, Olympia, Washington
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1295153880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	R9445 (Texas)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	307858 (New York)	Secondary
207RI0011X	Internal Medicine - Interventional Cardiology	MD61145791 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Capital Medical Center	Olympia, WA	Hospital
Providence St Peter Hospital	Olympia, WA	Hospital
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olympia Multi Specialty Clinic	4789571092	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. Daryl Sudasena allows following entities to bill medicare on his behalf.

Entity Name	Olympia Multi Specialty Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Colleen M Overdorf, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-413-8272
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare 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 Internal Medicine 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, Internal Medicine 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 Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865

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