Dr Kamlesh J Sisodiya, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Colleyville, Texas. His current practice location is
5400 State Highway 121 Ste 100, Colleyville, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 479-1500.
Dr Kamlesh J Sisodiya is licensed to practice in Texas (license number K1931) 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 1003893397.
Physician's Profile
| Full Name | Dr Kamlesh J Sisodiya |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 5400 State Highway 121 Ste 100, Colleyville, Texas |
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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: 1003893397
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436149408
- Enrollment ID: I20040513000468
Medical Identifiers
Medical identifiers for Dr Kamlesh J Sisodiya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003893397 | NPI | - | NPPES |
| 8EL145 | Other | TX | BCBS |
| P01356074 | Other | TX | RR |
| 127663610 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | K1931 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | K1931 (Texas) | Secondary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | K1931 (Texas) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | K1931 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | K1931 (Texas) | 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 Kamlesh J Sisodiya allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Mri And Diagnostic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912989120
PECOS PAC ID: 6507859568
Enrollment ID: O20051209000488 |
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| Entity Name | American Pain & Wellness Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306857305
PECOS PAC ID: 1557378601
Enrollment ID: O20060314000575 |
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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 Kamlesh J Sisodiya 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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Dr Kamlesh J Sisodiya, MD
1417 Gables Ct Ste 201,
Plano, TX 75075-7648
Ph: (469) 326-5115 | Dr Kamlesh J Sisodiya, MD
5400 State Highway 121 Ste 100,
Colleyville, TX 76034-5929
Ph: (817) 479-1500 |
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