Phanikumar Srinivasa Vadarevu, MD in Sacramento, CA

Phanikumar Srinivasa Vadarevu, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Sacramento, California. His current practice location is 1825 Bell St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 973-5000.

Phanikumar Srinivasa Vadarevu is licensed to practice in California (license number A83555) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003912668.

Contact Information

	Phanikumar Srinivasa Vadarevu, MD
	1825 Bell St, Sacramento, CA 95825-1020
	(916) 973-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Phanikumar Srinivasa Vadarevu
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	1825 Bell St, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003912668
Provider Enumeration Date: 09/14/2006
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8628062023
Enrollment ID: I20040408001591

Medical Identifiers

Medical identifiers for Phanikumar Srinivasa Vadarevu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003912668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A83555 (California)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	A83555 (California)	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. Phanikumar Srinivasa Vadarevu allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Phanikumar Srinivasa Vadarevu 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
Phanikumar Srinivasa Vadarevu, MD 1825 Bell St, Sacramento, CA 95825-1020 Ph: (916) 973-5000	Phanikumar Srinivasa Vadarevu, MD 1825 Bell St, Sacramento, CA 95825-1020 Ph: (916) 973-5000

Reviews and Comments

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Phanikumar Srinivasa Vadarevu, MD - Medicare Internal Medicine in Sacramento, CA