Dr Yazhini Srivathsal, MBBS is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Salem, Missouri. Her current practice location is
913 S Pershing Ave, Salem, Missouri. You can reach out to her office (for appointments etc.) via phone at
(888) 403-1071.
Dr Yazhini Srivathsal is licensed to practice in Arizona (license number 52855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346509742.
Physician's Profile
| Full Name | Dr Yazhini Srivathsal |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 913 S Pershing Ave, Salem, Missouri |
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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: 1346509742
- Provider Enumeration Date: 05/07/2012
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537464136
- Enrollment ID: I20161122001769
Medical Identifiers
Medical identifiers for Dr Yazhini Srivathsal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346509742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2019012547 (Missouri) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52855 (Arizona) | 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 Yazhini Srivathsal allows following entities to bill medicare on her behalf.
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752 |
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| Entity Name | Banner - University Hospital Based Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508 |
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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 Yazhini Srivathsal 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 Yazhini Srivathsal, MBBS
7575 E Earll Dr,
Scottsdale, AZ 85251-6915
Ph: (480) 448-7500 | Dr Yazhini Srivathsal, MBBS
913 S Pershing Ave,
Salem, MO 65560-1845
Ph: (888) 403-1071 |
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