Dr Srinivasa Reddy Yerasi, MD is a medicare enrolled "Pediatrics" physician in Breaux Bridge, Louisiana. His current practice location is
555 Lakes Blvd, Breaux Bridge, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 332-3971.
Dr Srinivasa Reddy Yerasi is licensed to practice in Louisiana (license number 204209) 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 1043529548.
Physician's Profile
| Full Name | Dr Srinivasa Reddy Yerasi |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 555 Lakes Blvd, Breaux Bridge, Louisiana |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043529548
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 03/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426332800
- Enrollment ID: I20170302001661
Medical Identifiers
Medical identifiers for Dr Srinivasa Reddy Yerasi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043529548 | NPI | - | NPPES |
| 2128876 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 204209 (Louisiana) | 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 Srinivasa Reddy Yerasi allows following entities to bill medicare on his behalf.
| Entity Name | Sunshine Pediatric And Family Clinic Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1619618964 PECOS PAC ID: 9436536265 Enrollment ID: O20220517003049 |
|---|
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 Srinivasa Reddy Yerasi 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 Srinivasa Reddy Yerasi, MD 401 Youngsville Hwy, Suite 100, Lafayette, LA 70508-5173 Ph: (337) 330-0031 | Dr Srinivasa Reddy Yerasi, MD 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 Ph: (337) 332-3971 |
Reviews and Comments