Dr Sitasravya Devathi, MBBS is a medicare enrolled "Internal Medicine" physician in Hermantown, Minnesota. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Polinsky Medical Rehabilitation Center, The Duluth Clinic Ltd and her current practice location is
4855 W Arrowhead Rd, Hermantown, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 786-8364.
Dr Sitasravya Devathi is licensed to practice in Minnesota (license number 57722) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881972206.
Physician's Profile
| Full Name | Dr Sitasravya Devathi |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 18 Years |
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| Location | 4855 W Arrowhead Rd, Hermantown, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Sitasravya Devathi graduated from medical school in 2008
NPI Data:
- NPI Number: 1881972206
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 05/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890919039
- Enrollment ID: I20140610001382
Medical Identifiers
Medical identifiers for Dr Sitasravya Devathi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881972206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 57722 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 57722 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| The Duluth Clinic Ltd | 2567374283 | 957 |
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. Dr Sitasravya Devathi allows following entities to bill medicare on her behalf.
| Entity Name | The Duluth Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229 |
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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. Dr Sitasravya Devathi 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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Dr Sitasravya Devathi, MBBS
400 E 3rd St,
Duluth, MN 55805-1951
Ph: (218) 786-8364 | Dr Sitasravya Devathi, MBBS
4855 W Arrowhead Rd,
Hermantown, MN 55811-3936
Ph: (218) 786-8364 |
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