Suraj Kedarisetty, MD in Vallejo, CA - Medicare Otolaryngology

Suraj Kedarisetty, MD is a medicare enrolled "Otolaryngology" physician in Vallejo, California. His current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 651-1000.

Suraj Kedarisetty is licensed to practice in California (license number A171667) 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 1477904506.

Contact Information

	Suraj Kedarisetty, MD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(707) 651-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Suraj Kedarisetty
Gender	Male
Speciality	Otolaryngology
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477904506
Provider Enumeration Date: 06/30/2016
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6204129745
Enrollment ID: I20210618000492

Medical Identifiers

Medical identifiers for Suraj Kedarisetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477904506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A171667 (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. Suraj Kedarisetty allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Suraj Kedarisetty 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
Suraj Kedarisetty, MD 1691 Candelero Ct, Walnut Creek, CA 94598-1019 Ph: () -	Suraj Kedarisetty, MD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000

Reviews and Comments

Otolaryngology Doctors in Vallejo, CA

Paul A. Martin, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Adnan Joseph Hadeed, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 607 Georgia Street, Vallejo, CA 94590 Phone: 707-554-8244 Fax: 707-554-1213
Edward D. Tsong, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Laurence Ariyasu, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Marc S. Fleisher, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Suraj Kedarisetty, MD - Medicare Otolaryngology in Vallejo, CA