Dr Mahidhar Mahasamudram Reddy, MD in West Orange, NJ

Dr Mahidhar Mahasamudram Reddy, MD is a medicare enrolled "Internal Medicine" physician in West Orange, New Jersey. His current practice location is 1199 Pleasant Valley Way, West Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 830-7694.

Dr Mahidhar Mahasamudram Reddy is licensed to practice in New Jersey (license number 25MA11750000) 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 1114451630.

Contact Information

	Dr Mahidhar Mahasamudram Reddy, MD
	1199 Pleasant Valley Way, West Orange, NJ 07052-1424
	(973) 830-7694
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mahidhar Mahasamudram Reddy
Gender	Male
Speciality	Internal Medicine
Location	1199 Pleasant Valley Way, West Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114451630
Provider Enumeration Date: 04/12/2017
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9739544354
Enrollment ID: I20230503001278

Medical Identifiers

Medical identifiers for Dr Mahidhar Mahasamudram Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114451630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	25MA11750000 (New Jersey)	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 Mahidhar Mahasamudram Reddy allows following entities to bill medicare on his behalf.

Entity Name	David Yakobashvili,md,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306097548 PECOS PAC ID: 1052460854 Enrollment ID: O20090713000178

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 Mahidhar Mahasamudram Reddy 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 Mahidhar Mahasamudram Reddy, MD 12 Cedar Gate Dr, Livingston, NJ 07039 Ph: (848) 992-4223	Dr Mahidhar Mahasamudram Reddy, MD 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 Ph: (973) 830-7694

Reviews and Comments

Internal Medicine Doctors in West Orange, NJ

Dr. Lincoln Miller, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Suite 201, West Orange, NJ 07052 Phone: 973-966-6400 Fax: 973-514-1587
Dr. David P Dobesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-731-9442 Fax: 973-731-2918
Dr. Iftekhar Kadri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 372 Valley Rd, West Orange, NJ 07052 Phone: 973-736-2600 Fax: 973-736-8355
Dr. Natalie Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 470 Prospect Ave, Suite 200, West Orange, NJ 07052 Phone: 973-243-0290 Fax: 973-243-1863
Mark Goldberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 741 Northfield Ave, Ste 205, West Orange, NJ 07052 Phone: 973-467-1544 Fax: 973-467-9586
Dr. Audrey B Radin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Main St Ste 300, West Orange, NJ 07052 Phone: 855-619-4448 Fax: 732-784-9918

Dr Mahidhar Mahasamudram Reddy, MD - Medicare Internal Medicine in West Orange, NJ