Mrs Deepa Kannaditharayil, MBBS in Modesto, CA

Mrs Deepa Kannaditharayil, MBBS is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Modesto, California. She graduated from medical school in 2006 and has 20 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 550-4785.

Mrs Deepa Kannaditharayil is licensed to practice in California (license number A143758) 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 1649508318.

Contact Information

	Mrs Deepa Kannaditharayil, MBBS
	600 Coffee Rd, Modesto, CA 95355-4201
	(209) 550-4785
	(209) 550-4888

Map and Direction

Physician's Profile

Full Name	Mrs Deepa Kannaditharayil
Gender	Female
Speciality	Neurology
Experience	20 Years
Location	600 Coffee Rd, Modesto, California
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:

Mrs Deepa Kannaditharayil graduated from medical school in 2006

NPI Data:

NPI Number: 1649508318
Provider Enumeration Date: 11/18/2009
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 2163747890
Enrollment ID: I20191014003504

Medical Identifiers

Medical identifiers for Mrs Deepa Kannaditharayil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649508318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	A143758 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stanford Health Care - Valleycare	Pleasanton, CA	Hospital
San Ramon Regional Medical Center	San ramon, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	3318

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. Mrs Deepa Kannaditharayil allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Mrs Deepa Kannaditharayil 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
Mrs Deepa Kannaditharayil, MBBS 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071	Mrs Deepa Kannaditharayil, MBBS 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 550-4785

Reviews and Comments

Psychiatry & Neurology Doctors in Modesto, CA

Jonathan Kistler, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Needham St, Modesto, CA 95354 Phone: 209-569-0373 Fax: 209-529-8519
Tonya F. Fuller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4785
Kairav Rameshchandra Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave Ste 445, Modesto, CA 95350 Phone: 209-571-1693
Dr. Jaaneali Mehdi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd Ste F, Modesto, CA 95355 Phone: 095-576-3102
Vinita Wadhwani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 Phone: 916-422-5856 Fax: 916-422-2307
Nusrat Malik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Claus Rd, Dbhc, Modesto, CA 95355 Phone: 209-557-6300
Antoun C. Manganas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd, Modesto, CA 95355 Phone: 209-524-9401

Mrs Deepa Kannaditharayil, MBBS - Medicare Neurology in Modesto, CA