Prem Thanaratnam, MD in Bronx, NY

Prem Thanaratnam, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Bronx, New York. His current practice location is 111 E 210th St, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 696-2583.

Prem Thanaratnam is licensed to practice in Nevada (license number 22108) 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 1285029645.

Contact Information

	Prem Thanaratnam, MD
	111 E 210th St, Bronx, NY 10467-2401
	(718) 696-2583
	(718) 881-5074

Map and Direction

Physician's Profile

Full Name	Prem Thanaratnam
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	111 E 210th St, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285029645
Provider Enumeration Date: 04/02/2015
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5799072625
Enrollment ID: I20230308000664

Medical Identifiers

Medical identifiers for Prem Thanaratnam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285029645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	22108 (Nevada)	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. Prem Thanaratnam allows following entities to bill medicare on his behalf.

Entity Name	Pueblo Medical Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952353591 PECOS PAC ID: 2264328319 Enrollment ID: O20040225000547

Entity Name	Radiology Specialists Ltd Marasso-miller
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20040317000680

Entity Name	J Paul Wiesner & Associates Chartered
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487606026 PECOS PAC ID: 4880679976 Enrollment ID: O20040622001538

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. Prem Thanaratnam 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
Prem Thanaratnam, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 696-2583	Prem Thanaratnam, MD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 696-2583

Reviews and Comments

Radiology Doctors in Bronx, NY

Melanie G Kogan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2322
Brett James Welke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2157 White Plains Rd, Bronx, NY 10462 Phone: 347-824-8065 Fax: 224-235-4652
Jonathan J Trambert, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2967
Pramila Tiwari, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1739 Williams Bridge Road, Bronx, NY 10461 Phone: 718-824-1569 Fax: 718-409-5213
Dr. Flavio Roberto Kamenetz, MD-PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Waters Pl, Ste M108, Bronx, NY 10461 Phone: 718-931-5620 Fax: 718-824-0706
Leslie A Kory, MD Radiology Medicare: Medicare Enrolled Practice Location: Mmc - Dept. Of Radiology, 111 East 210th Street, Bronx, NY 10467 Phone: 718-920-4070
Dr. Avraham B Zlochower, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 412-266-1608

Prem Thanaratnam, MD - Medicare Radiology in Bronx, NY