Priyanka Sharma Kosaraju, in Marina Del Rey, CA

Priyanka Sharma Kosaraju, is a medicare enrolled "Pediatrics" physician in Marina Del Rey, California. Her current practice location is 13160 Mindanao Way Ste 315, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-6310.

Priyanka Sharma Kosaraju is licensed to practice in California (license number A195499) 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 1740867407.

Contact Information

	Priyanka Sharma Kosaraju,
	13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292-7907
	(310) 301-6310
	(310) 301-6315

Map and Direction

Physician's Profile

Full Name	Priyanka Sharma Kosaraju
Gender	Female
Speciality	Pediatrics
Location	13160 Mindanao Way Ste 315, Marina Del Rey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740867407
Provider Enumeration Date: 03/26/2021
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 5395288088
Enrollment ID: I20240622000424

Medical Identifiers

Medical identifiers for Priyanka Sharma Kosaraju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740867407	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A195499 (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. Priyanka Sharma Kosaraju allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Priyanka Sharma Kosaraju 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
Priyanka Sharma Kosaraju, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Priyanka Sharma Kosaraju, 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292-7907 Ph: (310) 301-6310

Reviews and Comments

Pediatrics Doctors in Marina Del Rey, CA

Julia Isabelle Reading, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310
Dr. Leian Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310
Dr. Lawrence Henry Lesser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3609 Esplanade, Marina Del Rey, CA 90292 Phone: 310-301-6370
Stacy Ma, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310 Fax: 310-301-6315
Lisandra Ochoa, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292 Phone: 310-301-6310

Priyanka Sharma Kosaraju, - Medicare Pediatrics in Marina Del Rey, CA