Andres Diezcanseco Mallipudi, MD in Auburn, WA

Andres Diezcanseco Mallipudi, MD is a medicare enrolled "Emergency Medicine" physician in Auburn, Washington. He went to Johns Hopkins University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Boston Emergency Physician Foundation Inc, Lawrence General Hospital and his current practice location is 202 N Division St, Auburn, Washington. You can reach out to his office (for appointments etc.) via phone at (800) 225-0953.

Andres Diezcanseco Mallipudi is licensed to practice in Washington (license number MD61518915) 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 1265823793.

Contact Information

	Andres Diezcanseco Mallipudi, MD
	202 N Division St, Auburn, WA 98001-4939
	(800) 225-0953
	Not Available

Map and Direction

Physician's Profile

Full Name	Andres Diezcanseco Mallipudi
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	202 N Division St, Auburn, Washington
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:

Andres Diezcanseco Mallipudi attended and graduated from Johns Hopkins University School Of Medicine in 2018

NPI Data:

NPI Number: 1265823793
Provider Enumeration Date: 02/05/2015
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4183954928
Enrollment ID: I20220701000578

Medical Identifiers

Medical identifiers for Andres Diezcanseco Mallipudi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265823793	NPI	-	NPPES
3134859	Medicaid	NH
110187275A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	292098 (Massachusetts)	Secondary
207P00000X	Emergency Medicine	MD61518915 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boston Medical Center	Boston, MA	Hospital
Lawrence General Hospital	Lawrence, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boston Emergency Physician Foundation Inc	4981596095	82
Lawrence General Hospital	5092725200	104

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. Andres Diezcanseco Mallipudi allows following entities to bill medicare on his behalf.

Entity Name	Child Health Foundation Of Boston Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619969920 PECOS PAC ID: 1557263340 Enrollment ID: O20040122000712

Entity Name	Boston Emergency Physician Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005859 PECOS PAC ID: 4981596095 Enrollment ID: O20040325000554

Entity Name	Lawrence General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750381281 PECOS PAC ID: 5092725200 Enrollment ID: O20060503000236

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. Andres Diezcanseco Mallipudi 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
Andres Diezcanseco Mallipudi, MD 202 N Division St, Auburn, WA 98001-4939 Ph: (800) 225-0953	Andres Diezcanseco Mallipudi, MD 202 N Division St, Auburn, WA 98001-4939 Ph: (800) 225-0953

Reviews and Comments

Emergency Medicine Doctors in Auburn, WA

Sidney Beers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711
Richard Mcmonigal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711
Dr. Lee Wood, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 713-873-2630
Adrian Berto Boscolo-hightower, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 800-225-0953
Stephen H. Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 202 N Division St, Auburn, WA 98001 Phone: 253-833-7711
Robert Richling, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 202 N Division St, Plaza One, Auburn, WA 98001 Phone: 253-833-7711

Andres Diezcanseco Mallipudi, MD - Medicare Emergency Medicine in Auburn, WA