Katherine Bernadette Santosa, MD - Medicare Surgery in Atlanta, GA

Katherine Bernadette Santosa, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Atlanta, Georgia. Her current practice location is 875 Johnson Fy Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (048) 354-1914.

Katherine Bernadette Santosa is licensed to practice in Georgia (license number 87537) 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 1437410511.

Contact Information

Katherine Bernadette Santosa, MD
875 Johnson Fy Rd Ne,
Atlanta, GA 30342-1418
(048) 354-1914
Not Available

Map and Direction




Physician's Profile

Full NameKatherine Bernadette Santosa
GenderFemale
SpecialitySurgery - Plastic And Reconstructive Surgery
Location875 Johnson Fy Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437410511
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 05/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426287251
  • Enrollment ID: I20220725002432

Medical Identifiers

Medical identifiers for Katherine Bernadette Santosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437410511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 87537 (Georgia)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. Katherine Bernadette Santosa allows following entities to bill medicare on her behalf.
Entity NameMetroderm, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205833894
PECOS PAC ID: 8729076443
Enrollment ID: O20040503000850
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598

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. Katherine Bernadette Santosa 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 AddressPractice Location Address
Katherine Bernadette Santosa, MD
875 Johnson Fy Rd Ne,
Atlanta, GA 30342-1418

Ph: () -
Katherine Bernadette Santosa, MD
875 Johnson Fy Rd Ne,
Atlanta, GA 30342-1418

Ph: (048) 354-1914

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.