Surender Vuthoori, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Joshua Tree, California. His current practice location is
63532 29 Palms Hwy, Ste A, Joshua Tree, California. You can reach out to his office (for appointments etc.) via phone at
(760) 366-8491.
Surender Vuthoori is licensed to practice in California (license number A33804) 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 1437297298.
Physician's Profile
| Full Name | Surender Vuthoori |
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| Gender | Male |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 63532 29 Palms Hwy, Joshua Tree, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437297298
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 05/20/2009
Medicare PECOS Information:
- PECOS PAC ID: 2365504537
- Enrollment ID: I20081222000568
Medical Identifiers
Medical identifiers for Surender Vuthoori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437297298 | NPI | - | NPPES |
| 00A338041 | Medicaid | CA | |
| 00A338040 | Other | CA | BLUE SHIELD |
| 756061629 | Other | CA | RAILROAD MEDICARE NUMBER |
| 00A338040 | Medicaid | CA | |
| 953529571 | Other | CA | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | A33804 (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. Surender Vuthoori allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Associates Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003866120
PECOS PAC ID: 8022196518
Enrollment ID: O20080424000144 |
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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. Surender Vuthoori 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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Surender Vuthoori, MD
Po Box 168, 6353229 Palms Hwy Ste A,
Joshua Tree, CA 92252
Ph: (760) 366-8491 | Surender Vuthoori, MD
63532 29 Palms Hwy, Ste A,
Joshua Tree, CA 92252
Ph: (760) 366-8491 |
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