Sanjay Stanley Masilamani, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Scott Depot, West Virginia. He went to Jc Edwards School Of Medicine, Marshall University and graduated in 2007 and has 17 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is
97 Great Teays Blvd Ste 6, Scott Depot, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 757-6999.
Sanjay Stanley Masilamani is licensed to practice in Georgia (license number 078825) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578721221.
Physician's Profile
| Full Name | Sanjay Stanley Masilamani |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 17 Years |
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| Location | 97 Great Teays Blvd Ste 6, Scott Depot, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sanjay Stanley Masilamani attended and graduated from Jc Edwards School Of Medicine, Marshall University in 2007
NPI Data:
- NPI Number: 1578721221
- Provider Enumeration Date: 05/29/2008
- Last Update Date: 01/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345409876
- Enrollment ID: I20190819004076
Medical Identifiers
Medical identifiers for Sanjay Stanley Masilamani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578721221 | NPI | - | NPPES |
| 3810021770 | Medicaid | WV | |
| 0083183 | Medicaid | OH | |
| 7100223220 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 390200000X (West Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 078825 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Southeast Permanente Medical Group | 6204829013 | 576 |
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. Sanjay Stanley Masilamani allows following entities to bill medicare on his behalf.
| Entity Name | The Southeast Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370 |
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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. Sanjay Stanley Masilamani 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 |
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Sanjay Stanley Masilamani, MD
3495 Piedmont Rd Ne Bldg 91, Attn Tobie Shelley,
Atlanta, GA 30305-1717
Ph: (404) 364-7070 | Sanjay Stanley Masilamani, MD
97 Great Teays Blvd Ste 6,
Scott Depot, WV 25560-9816
Ph: (304) 757-6999 |
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