Dr Siva V Dantu, MD in East Syracuse, NY

Dr Siva V Dantu, MD is a medicare enrolled "Surgery" physician in East Syracuse, New York. His current practice location is Glacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 458-2211.

Dr Siva V Dantu is licensed to practice in Florida (license number 148940) 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 1174978787.

Contact Information

	Dr Siva V Dantu, MD
	Glacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057-9510
	(315) 458-2211
	(315) 452-9025

Map and Direction

Physician's Profile

Full Name	Dr Siva V Dantu
Gender	Male
Speciality	Surgery
Location	Glacier Creek Office Park-bldg Ii, East Syracuse, 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: 1174978787
Provider Enumeration Date: 05/02/2016
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0840536603
Enrollment ID: I20230822002292

Medical Identifiers

Medical identifiers for Dr Siva V Dantu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174978787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	148940 (Florida)	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 Siva V Dantu allows following entities to bill medicare on his behalf.

Entity Name	Colon Rectal Associates Of Central New York Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730248022 PECOS PAC ID: 3577536531 Enrollment ID: O20100928000044

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 Siva V Dantu 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 Siva V Dantu, MD Glacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057-9510 Ph: (315) 458-2211	Dr Siva V Dantu, MD Glacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057-9510 Ph: (315) 458-2211

Reviews and Comments

Surgery Doctors in East Syracuse, NY

Michael A Moffa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057 Phone: 315-458-2211 Fax: 315-452-9025
John D Nicholson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Glacier Creek Office Park- Bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057 Phone: 315-458-2211 Fax: 315-452-9025
David A Nesbitt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Glacier Creek Office Park-bldg Ii, 6711 Towpath Rd., Suite 175, East Syracuse, NY 13057 Phone: 315-458-2211 Fax: 315-452-9025

Dr Siva V Dantu, MD - Medicare Surgery in East Syracuse, NY