Dr Sailaja Nootheti, MD is a medicare enrolled "Allergy & Immunology" physician in Hagerstown, Maryland. Her current practice location is
1125 Diamond Dr, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 790-1482.
Dr Sailaja Nootheti is licensed to practice in Maryland (license number D0058338) 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 1356536700.
Physician's Profile
Full Name | Dr Sailaja Nootheti |
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Gender | Female |
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Speciality | Allergy & Immunology |
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Location | 1125 Diamond Dr, Hagerstown, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356536700
- Provider Enumeration Date: 09/10/2007
- Last Update Date: 03/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850589979
- Enrollment ID: I20230510003407
Medical Identifiers
Medical identifiers for Dr Sailaja Nootheti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356536700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | D0058338 (Maryland) | 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 Sailaja Nootheti allows following entities to bill medicare on her behalf.
Entity Name | Asthma & Allergy Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912089335 PECOS PAC ID: 7719909639 Enrollment ID: O20051220000589 |
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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 Sailaja Nootheti 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 Sailaja Nootheti, MD 1125 Diamond Dr Ste B, Hagerstown, MD 21740-5857 Ph: (301) 790-1482 | Dr Sailaja Nootheti, MD 1125 Diamond Dr, Hagerstown, MD 21740-5857 Ph: (301) 790-1482 |
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