Dr Basavaraj Kerur, MD in Worcester, MA

Dr Basavaraj Kerur, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (774) 441-8082.

Dr Basavaraj Kerur is licensed to practice in Massachusetts (license number 249732) 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 1871741181.

Contact Information

	Dr Basavaraj Kerur, MD
	55 Lake Ave N, Worcester, MA 01655
	(774) 441-8082
	(774) 441-8056

Map and Direction

Physician's Profile

Full Name	Dr Basavaraj Kerur
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871741181
Provider Enumeration Date: 08/29/2008
Last Update Date: 11/04/2020

Medicare PECOS Information:

PECOS PAC ID: 0648438713
Enrollment ID: I20120221000209

Medical Identifiers

Medical identifiers for Dr Basavaraj Kerur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871741181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	249732 (Massachusetts)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	MD14582 (Rhode Island)	Secondary
208M00000X	Hospitalist	249732 (Massachusetts)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	249732 (Massachusetts)	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. Dr Basavaraj Kerur allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

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 Basavaraj Kerur 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 Basavaraj Kerur, MD Po Box 415348, Boston, MA 02241-5348 Ph: (888) 225-8885	Dr Basavaraj Kerur, MD 55 Lake Ave N, Worcester, MA 01655 Ph: (774) 441-8082

Reviews and Comments

Pediatrics Doctors in Worcester, MA

Marissa E Parrillo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-5545 Fax: 774-443-7042
Dr. Penny M. Feldman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8081 Fax: 774-441-8055
Dr. Linda D Sagor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-856-4198 Fax: 508-856-1042
Dr. Robert W Zavoski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 Fax: 508-860-7925
Cornelius T Tyrrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-334-7986 Fax: 508-334-7989
Callie M Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Nura El-haj, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8083 Fax: 774-441-8057

Dr Basavaraj Kerur, MD - Medicare Pediatrics in Worcester, MA