Krishnamoorthi Krishnamoorthi, MD is a medicare enrolled "Internal Medicine" physician in Waterford, California. He graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Krishnamoorthi M. D. Inc., A Professional Medical Corporation and his current practice location is
324 F St, Waterford, California. You can reach out to his office (for appointments etc.) via phone at
(209) 874-2321.
Krishnamoorthi Krishnamoorthi is licensed to practice in California (license number A70897) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588762538.
Physician's Profile
| Full Name | Krishnamoorthi Krishnamoorthi |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 36 Years |
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| Location | 324 F St, Waterford, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Krishnamoorthi Krishnamoorthi graduated from medical school in 1989
NPI Data:
- NPI Number: 1588762538
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 12/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 8527060797
- Enrollment ID: I20070330000490
Medical Identifiers
Medical identifiers for Krishnamoorthi Krishnamoorthi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588762538 | NPI | - | NPPES |
| GR0104460 | Medicaid | CA | |
| RHM53829H | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | A70897 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Krishnamoorthi M. D. Inc., A Professional Medical Corporation | 1153323324 | 4 |
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. Krishnamoorthi Krishnamoorthi allows following entities to bill medicare on his behalf.
| Entity Name | Krishnamoorthi M. D. Inc., A Professional Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285785154
PECOS PAC ID: 1153323324
Enrollment ID: O20070330000427 |
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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. Krishnamoorthi Krishnamoorthi 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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Krishnamoorthi Krishnamoorthi, MD
2222 E Orangeburg Ave, Suite A2,
Modesto, CA 95355-3399
Ph: (209) 622-0877 | Krishnamoorthi Krishnamoorthi, MD
324 F St,
Waterford, CA 95386-9013
Ph: (209) 874-2321 |
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