Dr Sujatha A Rao, MD is a medicare enrolled "Specialist" physician in Carbondale, Illinois. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Deaconess Illinois Specialty Clinic, Inc. and her current practice location is
1390 Hope Drive, Suite 1, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 529-0120.
Dr Sujatha A Rao is licensed to practice in Illinois (license number 201307515) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356420368.
Physician's Profile
| Full Name | Dr Sujatha A Rao |
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| Gender | Female |
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| Speciality | Hematology/oncology |
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| Experience | 38 Years |
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| Location | 1390 Hope Drive, Carbondale, Illinois |
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| Accepts Medicare Assignments | Yes. She 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 Sujatha A Rao graduated from medical school in 1986
NPI Data:
- NPI Number: 1356420368
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 03/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214900513
- Enrollment ID: I20041004000602
Medical Identifiers
Medical identifiers for Dr Sujatha A Rao such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356420368 | NPI | - | NPPES |
| 036111928 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0000X | Internal Medicine - Hematology | 036111928 (Illinois) | Secondary |
| 174400000X | Specialist | 201307515 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deaconess Illinois Specialty Clinic, Inc. | 9830562016 | 77 |
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 Sujatha A Rao allows following entities to bill medicare on her behalf.
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972210235
PECOS PAC ID: 9830562016
Enrollment ID: O20230321001688 |
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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 Sujatha A Rao 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 Sujatha A Rao, MD
1008 Candletree Dr,
Carbondale, IL 62901-5218
Ph: (618) 529-0120 | Dr Sujatha A Rao, MD
1390 Hope Drive, Suite 1,
Carbondale, IL 62901-1031
Ph: (618) 529-0120 |
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