Dr Amaresh Vydyanathan, MD, MS is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Bloomington, Illinois. He went to Pennsylvania State University College Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Montefiore Medical Center and his current practice location is
1015 S Mercer Ave, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 662-4321.
Dr Amaresh Vydyanathan is licensed to practice in Illinois (license number 036124700) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336319094.
Physician's Profile
| Full Name | Dr Amaresh Vydyanathan |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 22 Years |
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| Location | 1015 S Mercer Ave, Bloomington, Illinois |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Amaresh Vydyanathan attended and graduated from Pennsylvania State University College Of Medicine in 2004
NPI Data:
- NPI Number: 1336319094
- Provider Enumeration Date: 03/08/2008
- Last Update Date: 09/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 0042353427
- Enrollment ID: I20110826000081
Medical Identifiers
Medical identifiers for Dr Amaresh Vydyanathan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336319094 | NPI | - | NPPES |
| 036124700 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 57.009044 (Ohio) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036124700 (Illinois) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 036124700 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Montefiore Medical Center | 3779496021 | 2809 |
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. Dr Amaresh Vydyanathan allows following entities to bill medicare on his behalf.
| Entity Name | Montefiore Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
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| Entity Name | Relief Medical Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801541149 PECOS PAC ID: 7113314592 Enrollment ID: O20230425001295 |
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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. Dr Amaresh Vydyanathan 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 |
Dr Amaresh Vydyanathan, MD, MS 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 | Dr Amaresh Vydyanathan, MD, MS 1015 S Mercer Ave, Bloomington, IL 61701-7107 Ph: (309) 662-4321 |
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