Dr Srinivas Ketharaju, MD in Ogdensburg, NY - Medicare Obstetrics/gynecology

Dr Srinivas Ketharaju, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ogdensburg, New York. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Mary Imogene Bassett Hospital and his current practice location is 3 Lyon Pl, Ogdensburg, New York. You can reach out to his office (for appointments etc.) via phone at (315) 713-6700.

Dr Srinivas Ketharaju is licensed to practice in New York (license number 280458) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346416559.

Contact Information

	Dr Srinivas Ketharaju, MD
	3 Lyon Pl, Ogdensburg, NY 13669-2590
	(315) 713-6700
	(866) 816-0815

Map and Direction

Physician's Profile

Full Name	Dr Srinivas Ketharaju
Gender	Male
Speciality	Obstetrics/gynecology
Experience	22 Years
Location	3 Lyon Pl, Ogdensburg, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Srinivas Ketharaju graduated from medical school in 2004

NPI Data:

NPI Number: 1346416559
Provider Enumeration Date: 05/07/2008
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2961696422
Enrollment ID: I20150929001726

Medical Identifiers

Medical identifiers for Dr Srinivas Ketharaju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346416559	NPI	-	NPPES
04262126	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	43564 (Kentucky)	Secondary
207V00000X	Obstetrics & Gynecology	1016377 (Massachusetts)	Secondary
207V00000X	Obstetrics & Gynecology	280458 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bassett Healthcare	Cooperstown, NY	Hospital
Aurelia Osborn Fox Memorial Hospital	Oneonta, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mary Imogene Bassett Hospital	3779488325	728

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 Srinivas Ketharaju allows following entities to bill medicare on his behalf.

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553

Entity Name	Mary Imogene Bassett Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20040120000834

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 Srinivas Ketharaju 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 Srinivas Ketharaju, MD 330 Mount Auburn St # 2, Cambridge, MA 02138-5597 Ph: (781) 893-5550	Dr Srinivas Ketharaju, MD 3 Lyon Pl, Ogdensburg, NY 13669-2590 Ph: (315) 713-6700

Reviews and Comments

Obstetrics & Gynecology Doctors in Ogdensburg, NY

Kaichun Wei, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 866-816-0815
Andrew J Ogden, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3 Lyon Place, Ste 300, Ogdensburg, NY 13669 Phone: 315-393-6186 Fax: 315-393-2639
Dr. Gordon Leigh Heiss, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-713-6700
Glasine O Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 315-713-6711
Peggy Bastien, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-393-6186 Fax: 315-394-0015
Dr. Orakwao David Dowuona, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Lyon Place, Ogdensburg, NY 13669 Phone: 315-713-6700 Fax: 866-816-0815

Dr Srinivas Ketharaju, MD - Medicare Obstetrics/gynecology in Ogdensburg, NY