Sodagam N Harikrishna, is a medicare enrolled "Dietitian, Registered" provider in Blountstown, Florida. His current practice location is
20454 Ne Finlay Avenue, Blountstown, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 415-2583.
Sodagam N Harikrishna is licensed to practice in Florida (license number ND1305) 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 1629163241.
Healthcare Provider's Profile
Full Name | Sodagam N Harikrishna |
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Gender | Male |
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Speciality | Dietitian, Registered |
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Location | 20454 Ne Finlay Avenue, Blountstown, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629163241
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911805072
- Enrollment ID: I20031229000016
Medical Identifiers
Medical identifiers for Sodagam N Harikrishna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629163241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | ND1305 (Florida) | Primary |
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. Sodagam N Harikrishna 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 |
Sodagam N Harikrishna, Post Office Box 298, Sneads, FL 32460 Ph: (850) 415-2583 | Sodagam N Harikrishna, 20454 Ne Finlay Avenue, Blountstown, FL 32424 Ph: (850) 415-2583 |
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