Dr Srivani Kanumuri, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Redmond, Washington. Her current practice location is
16690 Redmond Way Ste C, Redmond, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 621-1116.
Dr Srivani Kanumuri is licensed to practice in Washington (license number 60607481) 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 1336481183.
Physician's Profile
Full Name | Dr Srivani Kanumuri |
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Gender | Female |
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Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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Location | 16690 Redmond Way Ste C, Redmond, Washington |
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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: 1336481183
- Provider Enumeration Date: 03/20/2013
- Last Update Date: 07/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870889553
- Enrollment ID: I20160906002125
Medical Identifiers
Medical identifiers for Dr Srivani Kanumuri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336481183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 60607481 (Washington) | 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 Srivani Kanumuri allows following entities to bill medicare on her behalf.
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
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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 Srivani Kanumuri 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 Srivani Kanumuri, MD 16690 Redmond Way, Redmond, WA 98052-4434 Ph: () - | Dr Srivani Kanumuri, MD 16690 Redmond Way Ste C, Redmond, WA 98052-4434 Ph: (206) 621-1116 |
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