Sudha A Russell, MD in Santa Maria, CA

Sudha A Russell, MD is a medicare enrolled "Pediatrics" physician in Santa Maria, California. Her current practice location is 1835 N Broadway, Santa Maria, California. You can reach out to her office (for appointments etc.) via phone at (805) 345-3701.

Sudha A Russell is licensed to practice in California (license number G54900) 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 1528037892.

Contact Information

	Sudha A Russell, MD
	1835 N Broadway, Santa Maria, CA 93454-1404
	(805) 345-3701
	(805) 345-3745

Map and Direction

Physician's Profile

Full Name	Sudha A Russell
Gender	Female
Speciality	Pediatrics
Location	1835 N Broadway, Santa Maria, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528037892
Provider Enumeration Date: 03/17/2006
Last Update Date: 08/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3779611306
Enrollment ID: I20100503000274

Medical Identifiers

Medical identifiers for Sudha A Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528037892	NPI	-	NPPES
10100	Other	FL	BCBS PROVIDER #
057297799	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	G54900 (California)	Secondary
208000000X	Pediatrics	G54900 (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. Sudha A Russell allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers Of The Central Coast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

Entity Name	Valley Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593

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. Sudha A Russell 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
Sudha A Russell, MD Po Box 1559, Bakersfield, CA 93302-1559 Ph: (661) 635-3050	Sudha A Russell, MD 1835 N Broadway, Santa Maria, CA 93454-1404 Ph: (805) 345-3701

Reviews and Comments

Pediatrics Doctors in Santa Maria, CA

Dr. Jon Walter Maclean, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St, Suite J, Santa Maria, CA 93454 Phone: 805-922-3573 Fax: 805-922-7972
Benita Kho Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1505 Shepard Dr, Ste 103, Santa Maria, CA 93454 Phone: 805-922-0439 Fax: 805-922-8219
Michelle Taylor Corbier, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2801 Santa Maria Way, Santa Maria, CA 93455 Phone: 805-938-9200 Fax: 805-938-9207
Carrick Jean Adam, M.D., M.S.P.H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 N Lincoln St, Santa Maria, CA 93458 Phone: 805-965-1001
Dr. Robert Michael Turbow, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 235 S Palisade Dr, Santa Maria, CA 93454 Phone: 805-739-3561
Mr. Yassar Arain, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 235 S Palisade Dr, Santa Maria, CA 93454 Phone: 805-739-3561 Fax: 805-739-3560
Robert S Barry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St, Santa Maria, CA 93454 Phone: 805-922-3573 Fax: 805-922-7972

Sudha A Russell, MD - Medicare Pediatrics in Santa Maria, CA