Ashwin Vilas Rangavajjula, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Monroe, New York. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice St Luke's Physician Group Inc and his current practice location is
855 State Route 17m, Monroe, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 703-6999.
Ashwin Vilas Rangavajjula is licensed to practice in New York (license number 298545) 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 1265844898.
Physician's Profile
| Full Name | Ashwin Vilas Rangavajjula |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 10 Years |
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| Location | 855 State Route 17m, Monroe, New York |
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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. |
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Medical Education and Training:
- Ashwin Vilas Rangavajjula graduated from medical school in 2014
NPI Data:
- NPI Number: 1265844898
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 7911207063
- Enrollment ID: I20240213004156
Medical Identifiers
Medical identifiers for Ashwin Vilas Rangavajjula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265844898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 298545 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Luke's Physician Group Inc | 6709798333 | 1727 |
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. Ashwin Vilas Rangavajjula allows following entities to bill medicare on his behalf.
| Entity Name | St Lukes Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062 |
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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. Ashwin Vilas Rangavajjula 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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Ashwin Vilas Rangavajjula, MD
155 Crystal Run Rd,
Middletown, NY 10941-4057
Ph: (845) 703-6999 | Ashwin Vilas Rangavajjula, MD
855 State Route 17m,
Monroe, NY 10950-1600
Ph: (845) 703-6999 |
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