Gautami Kondamodi Rao, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Pompton Plains, New Jersey. Her current practice location is
242 W Parkway, Pompton Plains, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 522-2829.
Gautami Kondamodi Rao is licensed to practice in New Jersey (license number 25MA08365500) 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 1083795264.
Physician's Profile
| Full Name | Gautami Kondamodi Rao |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Neurology |
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| Location | 242 W Parkway, Pompton Plains, 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. |
NPI Data:
- NPI Number: 1083795264
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 02/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890884084
- Enrollment ID: I20071211000669
Medical Identifiers
Medical identifiers for Gautami Kondamodi Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083795264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 044606 (Connecticut) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 25MA08365500 (New Jersey) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA08365500 (New Jersey) | 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. Gautami Kondamodi Rao allows following entities to bill medicare on her behalf.
| Entity Name | Greater Ny Neurology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073947156 PECOS PAC ID: 2567692916 Enrollment ID: O20140304000515 |
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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. Gautami Kondamodi Rao 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 |
Gautami Kondamodi Rao, MD Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Gautami Kondamodi Rao, MD 242 W Parkway, Pompton Plains, NJ 07444-1029 Ph: (908) 522-2829 |
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