Suresh Sreedharan, MD is a medicare enrolled "Pediatrics" physician in Thief River Falls, Minnesota. His current practice location is
219 Brooks Avenue North, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 681-4673.
Suresh Sreedharan is licensed to practice in Minnesota (license number 47461) 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 1285665067.
Physician's Profile
| Full Name | Suresh Sreedharan |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 219 Brooks Avenue North, Thief River Falls, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285665067
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315992393
- Enrollment ID: I20050314000494
Medical Identifiers
Medical identifiers for Suresh Sreedharan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285665067 | NPI | - | NPPES |
| 1285665067 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 47461 (Minnesota) | Primary |
| 208000000X | Pediatrics | 61310-20 (Wisconsin) | Secondary |
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. Suresh Sreedharan allows following entities to bill medicare on his behalf.
| Entity Name | Hope Pediatrics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467856658 PECOS PAC ID: 0840512364 Enrollment ID: O20141211000359 |
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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. Suresh Sreedharan 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 |
Suresh Sreedharan, MD 219 Brooks Avenue North, Thief River Falls, MN 56701 Ph: (218) 681-4673 | Suresh Sreedharan, MD 219 Brooks Avenue North, Thief River Falls, MN 56701 Ph: (218) 681-4673 |
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