Dr Chandrashekara Reddy, MD PHD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Spartanburg, South Carolina. His current practice location is
750 S Church St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 582-2411.
Dr Chandrashekara Reddy is licensed to practice in South Carolina (license number 83642) 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 1508898818.
Physician's Profile
| Full Name | Dr Chandrashekara Reddy |
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| Gender | Male |
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| Speciality | Preventive Medicine - Addiction Medicine |
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| Location | 750 S Church St, Spartanburg, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508898818
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062489909
- Enrollment ID: I20250508000726
Medical Identifiers
Medical identifiers for Dr Chandrashekara Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508898818 | NPI | - | NPPES |
| 8432320 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD00043121 (Washington) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 47052-20 (Wisconsin) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | 83642 (South Carolina) | 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. Dr Chandrashekara Reddy allows following entities to bill medicare on his behalf.
| Entity Name | Proactive Md Sc Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538713813
PECOS PAC ID: 0143742593
Enrollment ID: O20250314002891 |
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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 Chandrashekara Reddy 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 Chandrashekara Reddy, MD PHD
750 S Church St,
Spartanburg, SC 29306-5348
Ph: (864) 582-2411 | Dr Chandrashekara Reddy, MD PHD
750 S Church St,
Spartanburg, SC 29306-5348
Ph: (864) 582-2411 |
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