Ms Srividhya Sridharan, MD in Fairmont, WV

Ms Srividhya Sridharan, MD is a medicare enrolled "Pediatrics" physician in Fairmont, West Virginia. Her current practice location is 1322 Locust Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 366-0700.

Ms Srividhya Sridharan is licensed to practice in West Virginia (license number 28397) 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 1720465909.

Contact Information

	Ms Srividhya Sridharan, MD
	1322 Locust Ave, Fairmont, WV 26554-1436
	(304) 366-0700
	(304) 367-8766

Map and Direction

Physician's Profile

Full Name	Ms Srividhya Sridharan
Gender	Female
Speciality	Pediatrics
Location	1322 Locust Ave, Fairmont, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720465909
Provider Enumeration Date: 04/27/2015
Last Update Date: 02/14/2019

Medicare PECOS Information:

PECOS PAC ID: 5395047096
Enrollment ID: I20221103001132

Medical Identifiers

Medical identifiers for Ms Srividhya Sridharan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720465909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	28397 (West Virginia)	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. Ms Srividhya Sridharan allows following entities to bill medicare on her behalf.

Entity Name	Andalusia Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437202009 PECOS PAC ID: 7315043007 Enrollment ID: O20070425000603

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. Ms Srividhya Sridharan 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
Ms Srividhya Sridharan, MD Po Box 1112, Fairmont, WV 26555-1112 Ph: (304) 366-0700	Ms Srividhya Sridharan, MD 1322 Locust Ave, Fairmont, WV 26554-1436 Ph: (304) 366-0700

Reviews and Comments

Pediatrics Doctors in Fairmont, WV

Dr. Agnes Marie Franz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529
Dr. Deborah J Hiltz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700 Fax: 304-366-9529
Aubrey Fleming, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Middletown Cmns Ste 163, Fairmont, WV 26554 Phone: 304-599-8000 Fax: 304-599-8003
Sarah Lynn Hall, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Locust Ave, Fairmont, WV 26554 Phone: 304-366-0700
Dr. Babu R. Devabhakthuni, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 10th St, Fairmont, WV 26554 Phone: 304-366-2818 Fax: 304-366-7614
Mrs. Elizabeth Leann Accord, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2600 Middletown Cmns Ste 163, Fairmont, WV 26554 Phone: 304-599-8000
Dr. Sree K.p. Mulpuru, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 10th St, Fairmont, WV 26554 Phone: 304-366-2818 Fax: 304-366-7614

Ms Srividhya Sridharan, MD - Medicare Pediatrics in Fairmont, WV