Kiran C Tamirisa, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oregon, Ohio. His current practice location is
2600 Navarre Ave, Oregon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 696-7646.
Kiran C Tamirisa is licensed to practice in Ohio (license number 35045601) 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 1851332829.
Physician's Profile
Full Name | Kiran C Tamirisa |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 2600 Navarre Ave, Oregon, Ohio |
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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: 1851332829
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 11/11/2013
Medicare PECOS Information:
- PECOS PAC ID: 7618870593
- Enrollment ID: I20101026000922
Medical Identifiers
Medical identifiers for Kiran C Tamirisa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851332829 | NPI | - | NPPES |
000000185388 | Other | OH | BCBS |
0440866 | Medicaid | OH | |
4272949-10 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 35045601 (Ohio) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 35045601 (Ohio) | 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. Kiran C Tamirisa allows following entities to bill medicare on his behalf.
Entity Name | Mercy Health Physicians-north Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
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Entity Name | Neuro Spine & Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477153609 PECOS PAC ID: 0143633065 Enrollment ID: O20210113001111 |
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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. Kiran C Tamirisa 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 |
Kiran C Tamirisa, MD 2600 Navarre Ave, Pain Clinic, Oregon, OH 43616-3207 Ph: () - | Kiran C Tamirisa, MD 2600 Navarre Ave, Oregon, OH 43616-3207 Ph: (419) 696-7646 |
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