Dr Charlie Srivilasa, MD in Saint Louis, MO

Dr Charlie Srivilasa, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Saint Louis, Missouri. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Physician Specialists Of St Lukes Llc, Washington University and his current practice location is 10012 Kennerly Rd Ste 406, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-1224.

Dr Charlie Srivilasa is licensed to practice in Missouri (license number 2018032445) 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 1346531464.

Contact Information

	Dr Charlie Srivilasa, MD
	10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197
	(314) 525-1224
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charlie Srivilasa
Gender	Male
Speciality	General Surgery
Experience	13 Years
Location	10012 Kennerly Rd Ste 406, Saint Louis, Missouri
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:

Dr Charlie Srivilasa attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2011

NPI Data:

NPI Number: 1346531464
Provider Enumeration Date: 04/23/2011
Last Update Date: 05/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9537421581
Enrollment ID: I20180912003300

Medical Identifiers

Medical identifiers for Dr Charlie Srivilasa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346531464	NPI	-	NPPES
200066167	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2018032445 (Missouri)	Secondary
2086S0127X	Surgery - Trauma Surgery	2018032445 (Missouri)	Secondary
2086S0102X	Surgery - Surgical Critical Care	2018032445 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Barnes Jewish Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Specialists Of St Lukes Llc	1557366960	78
Washington University	9830008770	2516

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. Dr Charlie Srivilasa allows following entities to bill medicare on his behalf.

Entity Name	St Louis University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043439672 PECOS PAC ID: 8022921964 Enrollment ID: O20031114000288

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20040129000651

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134169568 PECOS PAC ID: 9830008770 Enrollment ID: O20040317000959

Entity Name	Physician Specialists Of St Lukes Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235168410 PECOS PAC ID: 1557366960 Enrollment ID: O20060918000462

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Dr Charlie Srivilasa 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
Dr Charlie Srivilasa, MD 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 Ph: (314) 525-1224	Dr Charlie Srivilasa, MD 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 Ph: (314) 525-1224

Reviews and Comments

Surgery Doctors in Saint Louis, MO

Dr. Matthew Russell Smeds, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1225 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-977-4730 Fax: 314-977-1642
Dr. William C Chapman Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 1044 N Mason Rd, Div Surg Colon/rectal, Ste 310, Saint Louis, MO 63141 Phone: 314-454-7177 Fax: 888-425-7946
Dr. Bradley Seth Kushner, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Surg Vascular, Saint Louis, MO 63110 Phone: 314-273-7373 Fax: 888-840-6225
Leonardo J Diaz Gandica, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-286-2000
Eddy C Hsueh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Vista Ave, Saint Louis, MO 63110 Phone: 314-977-4440 Fax: 314-977-1630
Dr. Lj Punch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5501 Delmar Blvd Ste A430, Saint Louis, MO 63112 Phone: 314-624-0398
Dr. David Caplin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 845 N New Ballas Ct, Suite 300, Saint Louis, MO 63141 Phone: 314-569-0130 Fax: 314-569-3674

Dr Charlie Srivilasa, MD - Medicare General Surgery in Saint Louis, MO