Saritha Ketepalle, DDS in Newington, CT - Medicare Dentist Provider

Saritha Ketepalle, DDS is a medicare enrolled "Dentist - General Practice" provider in Newington, Connecticut. Her current practice location is 3001 Berlin Tpke, Newington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (415) 347-6515.

Saritha Ketepalle is licensed to practice in Connecticut (license number 11300) 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 1073910113.

Contact Information

	Saritha Ketepalle, DDS
	3001 Berlin Tpke, Newington, CT 06111-4601
	(415) 347-6515
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Saritha Ketepalle
Gender	Female
Speciality	Dentist - General Practice
Location	3001 Berlin Tpke, Newington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073910113
Provider Enumeration Date: 12/03/2014
Last Update Date: 04/02/2015

Medicare PECOS Information:

PECOS PAC ID: 9133562739
Enrollment ID: I20240212000691

Medical Identifiers

Medical identifiers for Saritha Ketepalle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073910113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	11300 (Connecticut)	Secondary
122300000X	Dentist	057448 (New York)	Secondary
1223G0001X	Dentist - General Practice	11300 (Connecticut)	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. Saritha Ketepalle allows following entities to bill medicare on her behalf.

Entity Name	Healthsource Of Ohio, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275966863 PECOS PAC ID: 2264328749 Enrollment ID: O20140521002611

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. Saritha Ketepalle 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
Saritha Ketepalle, DDS 3001 Berlin Tpke, Newington, CT 06111-4601 Ph: (415) 347-6515	Saritha Ketepalle, DDS 3001 Berlin Tpke, Newington, CT 06111-4601 Ph: (415) 347-6515

Reviews and Comments

Dentist in Newington, CT

Dr. Rachel Lauren Cohen, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 51 Market Sq, Newington, CT 06111 Phone: 860-667-0818
Dr. Jacquelyn Phyllis Pitcher, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 375 Willard Ave, Newington, CT 06111 Phone: 203-214-0412
Walter John Leckowiczjr, DMD Dentist Medicare: Medicare Enrolled Practice Location: 103 Market Sq, Newington, CT 06111 Phone: 860-666-1466
Dr. Gary B Toubman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Market Sq, Newington, CT 06111 Phone: 860-667-2600 Fax: 860-667-2600
Dr. Ioan Lucian Vatafu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1247 Main St, Newington, CT 06111 Phone: 860-666-5722
Dr. Mariya Trentcheva, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 435 Willard Ave Unit C, Newington, CT 06111 Phone: 860-372-4600 Fax: 860-372-4602

Saritha Ketepalle, DDS - Medicare Dentist in Newington, CT