Dr Sairamachandra Rao Kolla, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Jershey City, New Jersey. His current practice location is
2757 Kennedy Blvd, 1st Fl, Jershey City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 333-8004.
Dr Sairamachandra Rao Kolla is licensed to practice in New York (license number 234221) 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 1174503205.
Physician's Profile
| Full Name | Dr Sairamachandra Rao Kolla |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 2757 Kennedy Blvd, Jershey City, New Jersey |
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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: 1174503205
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 3173525730
- Enrollment ID: I20070209000638
Medical Identifiers
Medical identifiers for Dr Sairamachandra Rao Kolla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174503205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 234221 (New York) | 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 Sairamachandra Rao Kolla allows following entities to bill medicare on his behalf.
| Entity Name | Empire Medical Of Rockaway Beach Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902089402
PECOS PAC ID: 0143272237
Enrollment ID: O20050217000112 |
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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 Sairamachandra Rao Kolla 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 Sairamachandra Rao Kolla, MD
2757 John F Kennedy Blvd 1st,
Jersey City, NJ 07306-5507
Ph: (201) 333-8004 | Dr Sairamachandra Rao Kolla, MD
2757 Kennedy Blvd, 1st Fl,
Jershey City, NJ 07306-5507
Ph: (201) 333-8004 |
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