Dr Sujatha Sekar Sivaraman, DMD in Columbia, MO

Dr Sujatha Sekar Sivaraman, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Columbia, Missouri. Her current practice location is 2475 Broadway Bluffs Dr, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 777-9282.

Dr Sujatha Sekar Sivaraman is licensed to practice in Missouri (license number 2024008518) 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 1477543932.

Contact Information

	Dr Sujatha Sekar Sivaraman, DMD
	2475 Broadway Bluffs Dr, Columbia, MO 65201-8148
	(573) 777-9282
	(573) 777-9569

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sujatha Sekar Sivaraman
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	2475 Broadway Bluffs Dr, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477543932
Provider Enumeration Date: 10/26/2005
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5597061002
Enrollment ID: I20160315002173

Medical Identifiers

Medical identifiers for Dr Sujatha Sekar Sivaraman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477543932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	2005026619 (Missouri)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	2024008518 (Missouri)	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. Dr Sujatha Sekar Sivaraman allows following entities to bill medicare on her behalf.

Entity Name	Family Health Center Of Boone County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689646143 PECOS PAC ID: 0345231478 Enrollment ID: O20040519000311

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. Dr Sujatha Sekar Sivaraman 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
Dr Sujatha Sekar Sivaraman, DMD 1001 W Worley St, Columbia, MO 65203-2037 Ph: () -	Dr Sujatha Sekar Sivaraman, DMD 2475 Broadway Bluffs Dr, Columbia, MO 65201-8148 Ph: (573) 777-9282

Reviews and Comments

Dentist in Columbia, MO

Nikesha Walters, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937
Dr. James W Andrews, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 4 Ste 100, Columbia, MO 65203 Phone: 573-443-0466 Fax: 573-442-5417
Dr. William Scott Robinson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1609 Chapel Hill Rd, Suite B, Columbia, MO 65203 Phone: 573-446-0700 Fax: 573-446-2652
Jeanine Sasek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1700 E Pointe Dr Ste 300, Columbia, MO 65201 Phone: 573-443-1525 Fax: 573-875-4834
Tanisha Arya, DDS Dentist Medicare: Medicare Enrolled Practice Location: 303 N Keene St Ste 202, Columbia, MO 65201 Phone: 844-853-8937
Dr. Bruce Edward Ringdahl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway, Columbia, MO 65203 Phone: 573-443-1618
Dr. Jon G Rischer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Nifong Blvd, Bldg 8 Ste 120, Columbia, MO 65203 Phone: 573-874-8744 Fax: 573-499-4702

Dr Sujatha Sekar Sivaraman, DMD - Medicare Dentist in Columbia, MO