Judi Sundaram, NP in Berkeley, CA - Medicare Nurse Practitioner

Judi Sundaram, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berkeley, California. Her current practice location is 2105 Martin Luther King Jr Way Fl 1, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (888) 588-8995.

Judi Sundaram is licensed to practice in California (license number 95017148) 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 1912524687.

Contact Information

	Judi Sundaram, NP
	2105 Martin Luther King Jr Way Fl 1, Berkeley, CA 94704-1108
	(888) 588-8995
	(518) 756-0812

Map and Direction

Provider's Profile

Full Name	Judi Sundaram
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2105 Martin Luther King Jr Way Fl 1, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912524687
Provider Enumeration Date: 06/29/2020
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 2668913922
Enrollment ID: I20240926001552

Medical Identifiers

Medical identifiers for Judi Sundaram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912524687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017148 (California)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2302318 (Massachusetts)	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. Judi Sundaram allows following entities to bill medicare on her behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

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. Judi Sundaram 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
Judi Sundaram, NP 3069 E Kyne St Apt 107, San Mateo, CA 94403-3676 Ph: (617) 930-1371	Judi Sundaram, NP 2105 Martin Luther King Jr Way Fl 1, Berkeley, CA 94704-1108 Ph: (888) 588-8995

Reviews and Comments

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Judi Sundaram, NP - Medicare Nurse Practitioner in Berkeley, CA