Srinivas M Susarla, MD, DMD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" provider in Seattle, Washington. He went to Harvard Medical School and graduated in 2010 and has 14 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice The Association Of University Physicians and his current practice location is
4800 Sand Point Way Ne, Seattle Children's Hospital, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 987-5223.
Srinivas M Susarla is licensed to practice in Washington (license number MD60628000) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659562775.
Healthcare Provider's Profile
Full Name | Srinivas M Susarla |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 14 Years |
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Location | 4800 Sand Point Way Ne, Seattle, Washington |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Srinivas M Susarla attended and graduated from Harvard Medical School in 2010
NPI Data:
- NPI Number: 1659562775
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 08/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 3779747746
- Enrollment ID: I20160606001677
Medical Identifiers
Medical identifiers for Srinivas M Susarla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659562775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DF60668028 (Washington) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD60628000 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Association Of University Physicians | 0446162697 | 3017 |
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. Srinivas M Susarla allows following entities to bill medicare on his behalf.
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
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Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
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Entity Name | Seattle Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
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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. Srinivas M Susarla 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 |
Srinivas M Susarla, MD, DMD 4800 Sand Point Way Ne, Seattle Children's Hospital, Seattle, WA 98105-3901 Ph: () - | Srinivas M Susarla, MD, DMD 4800 Sand Point Way Ne, Seattle Children's Hospital, Seattle, WA 98105-3901 Ph: (206) 987-5223 |
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