Dr Shankar Keralapura Sridhara, MD is a medicare enrolled "Otolaryngology" physician in Fort Gordon, Georgia. He went to Boston University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and his current practice location is
300 Hospital Road, Eent Clinic, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 787-7822.
Dr Shankar Keralapura Sridhara is licensed to practice in Virginia (license number 0101245003) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932308467.
Physician's Profile
| Full Name | Dr Shankar Keralapura Sridhara |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 17 Years |
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| Location | 300 Hospital Road, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shankar Keralapura Sridhara attended and graduated from Boston University School Of Medicine in 2007
NPI Data:
- NPI Number: 1932308467
- Provider Enumeration Date: 07/14/2007
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375830326
- Enrollment ID: I20160920000824
Medical Identifiers
Medical identifiers for Dr Shankar Keralapura Sridhara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932308467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 0101245003 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
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 Shankar Keralapura Sridhara allows following entities to bill medicare on his behalf.
| Entity Name | Inova Health Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644 |
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| Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308 |
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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 Shankar Keralapura Sridhara 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 Shankar Keralapura Sridhara, MD
300 Hospital Road, Eent Clinic,
Fort Gordon, GA 30905-5650
Ph: (706) 787-7822 | Dr Shankar Keralapura Sridhara, MD
300 Hospital Road, Eent Clinic,
Fort Gordon, GA 30905-5650
Ph: (706) 787-7822 |
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