Rajendra Pusuluri, is a medicare enrolled "Clinic/center - Physical Therapy" provider in Salem, Oregon. His current practice location is
1249 Fairview Ave Se, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 560-2068.
Rajendra Pusuluri is licensed to practice in Oregon (license number 63619) 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 1760884308.
Healthcare Provider's Profile
| Full Name | Rajendra Pusuluri |
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| Gender | Male |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 1249 Fairview Ave Se, Salem, Oregon |
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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: 1760884308
- Provider Enumeration Date: 09/25/2014
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032584628
- Enrollment ID: I20230413000446
Medical Identifiers
Medical identifiers for Rajendra Pusuluri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760884308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | WAPT60111357 (Washington) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 63619 (Oregon) | 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. Rajendra Pusuluri allows following entities to bill medicare on his behalf.
| Provider Name | Hwy Pt Clinic Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1073212684
PECOS PAC ID: 7214302801
Enrollment ID: O20230413000397 |
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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. Rajendra Pusuluri 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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Rajendra Pusuluri,
1115 Madison St Ne # 1070,
Salem, OR 97301-7862
Ph: (503) 560-2068 | Rajendra Pusuluri,
1249 Fairview Ave Se,
Salem, OR 97302-2534
Ph: (503) 560-2068 |
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