Anjali Sethi Sura, MD is a medicare enrolled "Pediatrics - Pediatric Rheumatology" physician in Syacuse, New York. Her current practice location is
725 Irving Ave, 8th Fl, Syacuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 464-7611.
Anjali Sethi Sura is licensed to practice in New York (license number 300103) 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 1649618638.
Physician's Profile
| Full Name | Anjali Sethi Sura |
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| Gender | Female |
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| Speciality | Pediatrics - Pediatric Rheumatology |
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| Location | 725 Irving Ave, Syacuse, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649618638
- Provider Enumeration Date: 06/12/2013
- Last Update Date: 08/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193031011
- Enrollment ID: I20190829002719
Medical Identifiers
Medical identifiers for Anjali Sethi Sura such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649618638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 4301103431 (Michigan) | Secondary |
| 2080P0216X | Pediatrics - Pediatric Rheumatology | 300103 (New York) | 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. Anjali Sethi Sura allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Service Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770539066
PECOS PAC ID: 9931007200
Enrollment ID: O20031223000483 |
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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. Anjali Sethi Sura 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 |
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Anjali Sethi Sura, MD
251 Salina Meadows Pkwy, Suite 100,
Syracuse, NY 13212-4516
Ph: (315) 464-2000 | Anjali Sethi Sura, MD
725 Irving Ave, 8th Fl,
Syacuse, NY 13210
Ph: (315) 464-7611 |
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