Dattanand Melukote Sudarshana, MD in Antioch, CA - Medicare Psychiatry & Neurology

Dattanand Melukote Sudarshana, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Antioch, California. His current practice location is 4053 Lone Tree Way Ste 100, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 776-7725.

Dattanand Melukote Sudarshana is licensed to practice in California (license number A177777) 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 1710440656.

Contact Information

	Dattanand Melukote Sudarshana, MD
	4053 Lone Tree Way Ste 100, Antioch, CA 94531-6210
	(925) 776-7725
	Not Available

Map and Direction

Physician's Profile

Full Name	Dattanand Melukote Sudarshana
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	4053 Lone Tree Way Ste 100, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710440656
Provider Enumeration Date: 04/08/2019
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4385063015
Enrollment ID: I20230929001419

Medical Identifiers

Medical identifiers for Dattanand Melukote Sudarshana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710440656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	A177777 (California)	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. Dattanand Melukote Sudarshana allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Dattanand Melukote Sudarshana 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
Dattanand Melukote Sudarshana, MD 4053 Lone Tree Way Ste 100, Antioch, CA 94531-6210 Ph: (925) 776-7725	Dattanand Melukote Sudarshana, MD 4053 Lone Tree Way Ste 100, Antioch, CA 94531-6210 Ph: (925) 776-7725

Reviews and Comments

Psychiatry & Neurology Doctors in Antioch, CA

Richard Lee Russell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Carolyn S. Manson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Dr. Seth Christopher Thomas, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Department Of Emergency Medicine, Antioch, CA 94509 Phone: 925-779-7200
Dr. Stacie Daniels, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-3840 Fax: 925-813-3841
Kyle P. Owen, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2213 Buchanan Rd, Suite 203, Antioch, CA 94509 Phone: 925-779-5810
Dr. Li Lan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531 Phone: 925-777-6300
Nnennaya Ekwutosi Nwokeji, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531 Phone: 925-325-8083

Dattanand Melukote Sudarshana, MD - Medicare Psychiatry & Neurology in Antioch, CA