Vasanth Kumar Selvam, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in West Islip, New York. His current practice location is
1000 Montauk Hwy # 11795, West Islip, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 376-3000.
Vasanth Kumar Selvam is licensed to practice in * (Not Available) (license number ) 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 1053007047.
Physician's Profile
| Full Name | Vasanth Kumar Selvam |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 Montauk Hwy # 11795, West Islip, New York |
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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: 1053007047
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547779233
- Enrollment ID: I20250604000507
Medical Identifiers
Medical identifiers for Vasanth Kumar Selvam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053007047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 331951 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Vasanth Kumar Selvam allows following entities to bill medicare on his behalf.
| Entity Name | Brookview Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532 |
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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. Vasanth Kumar Selvam 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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Vasanth Kumar Selvam, DO
8139 267th St,
Floral Park, NY 11004-1531
Ph: (718) 219-4096 | Vasanth Kumar Selvam, DO
1000 Montauk Hwy # 11795,
West Islip, NY 11795-4927
Ph: (631) 376-3000 |
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