Dr Sandeep Nagaraj Wontakal, MD, PHD in New York, NY

Dr Sandeep Nagaraj Wontakal, MD, PHD is a medicare enrolled "Pathology - Molecular Genetic Pathology" physician in New York, New York. His current practice location is 177 Fort Washington Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-2500.

Dr Sandeep Nagaraj Wontakal is licensed to practice in New York (license number 291355) 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 1235549601.

Contact Information

	Dr Sandeep Nagaraj Wontakal, MD, PHD
	177 Fort Washington Ave, New York, NY 10032-3733
	(212) 305-2500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Sandeep Nagaraj Wontakal
Gender	Male
Speciality	Pathology - Molecular Genetic Pathology
Location	177 Fort Washington Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235549601
Provider Enumeration Date: 05/06/2014
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8628461902
Enrollment ID: I20220824003583

Medical Identifiers

Medical identifiers for Dr Sandeep Nagaraj Wontakal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235549601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0105X	Pathology - Clinical Pathology/laboratory Medicine	291355 (New York)	Secondary
207ZP0007X	Pathology - Molecular Genetic Pathology	291355 (New York)	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 Sandeep Nagaraj Wontakal allows following entities to bill medicare on his behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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 Sandeep Nagaraj Wontakal 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 Sandeep Nagaraj Wontakal, MD, PHD 701 W 168th St # 1401, New York, NY 10032-3723 Ph: (212) 305-8533	Dr Sandeep Nagaraj Wontakal, MD, PHD 177 Fort Washington Ave, New York, NY 10032-3733 Ph: (212) 305-2500

Reviews and Comments

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Dr Sandeep Nagaraj Wontakal, MD, PHD - Medicare Pathology in New York, NY