Jyothsna Dasarathula, MD is a medicare enrolled "Hospitalist" physician in Herrin, Illinois. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Mvhe Inc and her current practice location is
201 S 14th St, Herrin, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 942-2171.
Jyothsna Dasarathula is licensed to practice in Illinois (license number 036143010) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104225713.
Physician's Profile
Full Name | Jyothsna Dasarathula |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 14 Years |
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Location | 201 S 14th St, Herrin, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jyothsna Dasarathula graduated from medical school in 2010
NPI Data:
- NPI Number: 1104225713
- Provider Enumeration Date: 08/19/2014
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6709155203
- Enrollment ID: I20230801000962
Medical Identifiers
Medical identifiers for Jyothsna Dasarathula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104225713 | NPI | - | NPPES |
214881 | Other | IL | MULTISPECIALTY GROUP PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036143010 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | 036143010 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mvhe Inc | 9537066584 | 356 |
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. Jyothsna Dasarathula allows following entities to bill medicare on her behalf.
Entity Name | Mvhe Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
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Entity Name | Upper Valley Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407872518 PECOS PAC ID: 5597658138 Enrollment ID: O20040206000038 |
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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. Jyothsna Dasarathula 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 |
Jyothsna Dasarathula, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 | Jyothsna Dasarathula, MD 201 S 14th St, Herrin, IL 62948-3631 Ph: (618) 942-2171 |
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