Dr Kavya Indira Rao, MD is a medicare enrolled "Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology" physician in Farr West, Utah. Her current practice location is
2850 N 2000 W Ste 101, Farr West, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 528-5095.
Dr Kavya Indira Rao is licensed to practice in Utah (license number 12474837-1205) 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 1164800496.
Physician's Profile
| Full Name | Dr Kavya Indira Rao |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
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| Location | 2850 N 2000 W Ste 101, Farr West, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164800496
- Provider Enumeration Date: 05/06/2015
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052701927
- Enrollment ID: I20211208001531
Medical Identifiers
Medical identifiers for Dr Kavya Indira Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164800496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | A167664 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 12474837-1205 (Utah) | 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 Kavya Indira Rao allows following entities to bill medicare on her behalf.
| Entity Name | Central Utah Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805 |
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| Entity Name | Pediatrix Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730265919
PECOS PAC ID: 2567634587
Enrollment ID: O20190619000643 |
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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. Dr Kavya Indira Rao 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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Dr Kavya Indira Rao, MD
1055 N 500 W, Attn Credentialing,
Provo, UT 84604
Ph: (801) 354-8225 | Dr Kavya Indira Rao, MD
2850 N 2000 W Ste 101,
Farr West, UT 84404-9230
Ph: (801) 528-5095 |
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