Dr Patalam Sriramulu Sriharsha, MD is a medicare enrolled "Psychiatry & Neurology - Geriatric Psychiatry" physician in Hazleton, Pennsylvania. His current practice location is
750 E Broad St, Hazleton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 455-6385.
Dr Patalam Sriramulu Sriharsha is licensed to practice in Pennsylvania (license number MD025995E) 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 1154377562.
Physician's Profile
| Full Name | Dr Patalam Sriramulu Sriharsha |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
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| Location | 750 E Broad St, Hazleton, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154377562
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9234392390
- Enrollment ID: I20120530000166
Medical Identifiers
Medical identifiers for Dr Patalam Sriramulu Sriharsha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154377562 | NPI | - | NPPES |
| 0008345120004 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD025995E (Pennsylvania) | 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 Patalam Sriramulu Sriharsha allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649608530 PECOS PAC ID: 5799768115 Enrollment ID: O20040608000843 |
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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 Patalam Sriramulu Sriharsha 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 Patalam Sriramulu Sriharsha, MD 750 E Broad St, Hazleton, PA 18201-6835 Ph: (570) 455-6385 | Dr Patalam Sriramulu Sriharsha, MD 750 E Broad St, Hazleton, PA 18201-6835 Ph: (570) 455-6385 |
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