Deepthika Ennamuri, MD in Bellevue, WA - Medicare Family Medicine

Deepthika Ennamuri, MD is a medicare enrolled "Family Medicine" physician in Bellevue, Washington. Her current practice location is 1200 112th Ave Ne Ste B100, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 462-1132.

Deepthika Ennamuri is licensed to practice in Washington (license number MD61325378) 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 1285195941.

Contact Information

	Deepthika Ennamuri, MD
	1200 112th Ave Ne Ste B100, Bellevue, WA 98004-3751
	(425) 462-1132
	(425) 456-3668

Map and Direction

Physician's Profile

Full Name	Deepthika Ennamuri
Gender	Female
Speciality	Family Medicine
Location	1200 112th Ave Ne Ste B100, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285195941
Provider Enumeration Date: 03/26/2019
Last Update Date: 12/06/2022

Medicare PECOS Information:

PECOS PAC ID: 6901130392
Enrollment ID: I20220901002899

Medical Identifiers

Medical identifiers for Deepthika Ennamuri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285195941	NPI	-	NPPES
2133334	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61325378 (Washington)	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. Deepthika Ennamuri allows following entities to bill medicare on her behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189

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. Deepthika Ennamuri 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
Deepthika Ennamuri, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Deepthika Ennamuri, MD 1200 112th Ave Ne Ste B100, Bellevue, WA 98004-3751 Ph: (425) 462-1132

Reviews and Comments

Family Medicine Doctors in Bellevue, WA

Dr. Steven Yee, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 14505 Bel Red Rd, 100, Bellevue, WA 98007 Phone: 425-283-5080
Martha Riggers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3080 148th Ave Se, Suite 115, Bellevue, WA 98007 Phone: 425-378-8190 Fax: 425-649-1523
Peter Myles Mcgough, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13231 Se 36th St Ste 110, Bellevue, WA 98006 Phone: 425-957-9000
Dr. Roseanna Lee Perry, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3039 110th Ave Se, Bellevue, WA 98004 Phone: 425-455-5081
Neha Yadav, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 150th Ave Se, Bellevue, WA 98006 Phone: 425-460-7140 Fax: 425-460-7129
Mrs. Janine R Cooley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 112th Ave Ne, Ste C160, Bellevue, WA 98004 Phone: 425-453-1039 Fax: 425-453-8955
Ms. Denise S Kraft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 112th Ave Ne, Ste C160, Bellevue, WA 98004 Phone: 425-453-1039 Fax: 425-453-8955

Deepthika Ennamuri, MD - Medicare Family Medicine in Bellevue, WA