Srividya Thotakura, PAC - Medicare Physician Assistant in Herndon, VA

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Srividya Thotakura, PAC is a medicare enrolled "Physician Assistant" in Herndon, Virginia. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Usacs Integrated Acute Care Services Of Maryland Llc, Emergency Medicine Associates P.a., P.c. and her current practice location is 13158 Ruby Lace Ct, Herndon, Virginia. You can reach out to her office (for appointments etc.) via phone at (612) 200-4585.

Srividya Thotakura is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407220353.

Contact Information

Srividya Thotakura, PAC
13158 Ruby Lace Ct,
Herndon, VA 20171-2337
(612) 200-4585
Not Available

Map and Direction




Provider's Profile

Full NameSrividya Thotakura
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location13158 Ruby Lace Ct, Herndon, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Srividya Thotakura graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1407220353
  • Provider Enumeration Date: 11/16/2015
  • Last Update Date: 11/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3274837778
  • Enrollment ID: I20160203001501

Medical Identifiers

Medical identifiers for Srividya Thotakura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407220353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Healthcare White Oak Medical CenterSilver spring, MDHospital
Reston Hospital CenterReston, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Usacs Integrated Acute Care Services Of Maryland Llc4486900172178
Emergency Medicine Associates P.a., P.c.8022914522706

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. Srividya Thotakura allows following entities to bill medicare on her behalf.
Entity NameFair Oaks Hospitalist Physicians, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275601205
PECOS PAC ID: 1052419868
Enrollment ID: O20070601000279
Entity NameEmergency Medicine Associates P.A., P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20070919000389
Entity NameVirginia Internal Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740525245
PECOS PAC ID: 4082869250
Enrollment ID: O20130710000355
Entity NameUsacs Integrated Acute Care Services of Maryland LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922598929
PECOS PAC ID: 4486900172
Enrollment ID: O20190604001354

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. Srividya Thotakura 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 AddressPractice Location Address
Srividya Thotakura, PAC
13158 Ruby Lace Ct,
Herndon, VA 20171-2337

Ph: (612) 200-4585		Srividya Thotakura, PAC
13158 Ruby Lace Ct,
Herndon, VA 20171-2337

Ph: (612) 200-4585

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.