Mahesh Bommaraju, MD in Williamsville, NY

Mahesh Bommaraju, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Williamsville, New York. His current practice location is 1540 Maple Rd, Williamsville, New York. You can reach out to his office (for appointments etc.) via phone at (716) 878-7662.

Mahesh Bommaraju is licensed to practice in New York (license number 190900) 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 1457328114.

Contact Information

	Mahesh Bommaraju, MD
	1540 Maple Rd, Williamsville, NY 14221-3647
	(716) 878-7662
	Not Available

Map and Direction

Physician's Profile

Full Name	Mahesh Bommaraju
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	1540 Maple Rd, Williamsville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457328114
Provider Enumeration Date: 03/02/2006
Last Update Date: 01/11/2010

Medicare PECOS Information:

PECOS PAC ID: 1456309046
Enrollment ID: I20050111000188

Medical Identifiers

Medical identifiers for Mahesh Bommaraju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457328114	NPI	-	NPPES
000523290004	Other		BC/BS
3610082	Other		IHA
00010018901	Other		UNIVERA
040426000926	Other		FIDELIS
01564185	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	190900 (New York)	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. Mahesh Bommaraju allows following entities to bill medicare on his behalf.

Entity Name	Kaleida Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212

Entity Name	University At Buffalo Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912928599 PECOS PAC ID: 1355235540 Enrollment ID: O20040210000076

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. Mahesh Bommaraju 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
Mahesh Bommaraju, MD 219 Bryant St, Buffalo, NY 14222-2006 Ph: (716) 878-7673	Mahesh Bommaraju, MD 1540 Maple Rd, Williamsville, NY 14221-3647 Ph: (716) 878-7662

Reviews and Comments

Pediatrics Doctors in Williamsville, NY

Dr. Judi L Wolf, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030 Fax: 716-565-9038
Frederick C Morin Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1540 Maple Rd, Williamsville, NY 14221 Phone: 716-878-7662
Dr. Michael Zang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030
Marissa Janel Burg, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Hopkins Rd, Williamsville, NY 14221 Phone: 716-632-8050 Fax: 716-632-2297
Dr. Thomas F Cozza, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Hopkins Rd, Williamsville, NY 14221 Phone: 716-632-8050 Fax: 716-632-2297
Dr. G Lawrence Mcnally, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8643 Sheridan Dr, Williamsville, NY 14221 Phone: 716-565-9030 Fax: 716-565-9038
Eric J Thierman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1835 Maple Rd, Williamsville, NY 14221 Phone: 716-634-5410

Mahesh Bommaraju, MD - Medicare Pediatrics in Williamsville, NY