Jaya Durvasula, in Andover, MN - Medicare Family Medicine

Jaya Durvasula, is a medicare enrolled "Family Medicine" physician in Andover, Minnesota. Her current practice location is 15245 Bluebird St Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 587-4600.

Jaya Durvasula is licensed to practice in Minnesota (license number 71239) 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 1386209906.

Contact Information

	Jaya Durvasula,
	15245 Bluebird St Nw, Andover, MN 55304-3538
	(763) 587-4600
	(763) 587-4615

Map and Direction

Physician's Profile

Full Name	Jaya Durvasula
Gender	Female
Speciality	Family Medicine
Location	15245 Bluebird St Nw, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386209906
Provider Enumeration Date: 05/08/2019
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4587047741
Enrollment ID: I20220822000125

Medical Identifiers

Medical identifiers for Jaya Durvasula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386209906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	71239 (Minnesota)	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. Jaya Durvasula allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Jaya Durvasula 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
Jaya Durvasula, 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Jaya Durvasula, 15245 Bluebird St Nw, Andover, MN 55304-3538 Ph: (763) 587-4600

Reviews and Comments

Family Medicine Doctors in Andover, MN

Steve G. Applebaum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15245 Bluebird Street Nw, Healthpartners Riverway Andover Urgent Care, Andover, MN 55304 Phone: 763-587-4688 Fax: 763-587-4662
Roman P Smulka, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover, Andover, MN 55304 Phone: 763-587-4600 Fax: 763-587-4615
Dr. Stephen William Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490
Dr. Laurie Ann Mcleod-lorence, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4415
John W Gfrerer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304 Phone: 763-712-6000 Fax: 763-712-6090
Mrs. Marianne Shuchin Liu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd. Nw, Fair View Clinic, Andover, MN 55304 Phone: 763-862-4477 Fax: 319-272-2107

Jaya Durvasula, - Medicare Family Medicine in Andover, MN