Padmaja Chalasani, MD is a medicare enrolled "Internal Medicine" physician in Saint Marys, Ohio. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Jtdm Family Practice Llc, Joint Township District Memorial Hospital and her current practice location is
Grand Lake Primary Care At St Marys, 1140 S Knoxville Ave Ste A, Saint Marys, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 394-9959.
Padmaja Chalasani is licensed to practice in Ohio (license number 35.074537) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023113693.
Physician's Profile
Full Name | Padmaja Chalasani |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 34 Years |
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Location | Grand Lake Primary Care At St Marys, Saint Marys, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Padmaja Chalasani graduated from medical school in 1990
NPI Data:
- NPI Number: 1023113693
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 01/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587674775
- Enrollment ID: I20060503000044
Medical Identifiers
Medical identifiers for Padmaja Chalasani such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023113693 | NPI | - | NPPES |
9934723 | Other | OH | ORGANIZATIONAL MEDICARE PTAN |
H348972 | Other | OH | MEDICARE PTAN |
2079076 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 35.074537 (Ohio) | Secondary |
207R00000X | Internal Medicine | 35.074537 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Jtdm Family Practice Llc | 2163415837 | 42 |
Joint Township District Memorial Hospital | 3870491590 | 47 |
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. Padmaja Chalasani allows following entities to bill medicare on her behalf.
Entity Name | Joint Township District Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639133002 PECOS PAC ID: 3870491590 Enrollment ID: O20031219000416 |
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Entity Name | Jtdm Family Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863 |
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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. Padmaja Chalasani 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 |
Padmaja Chalasani, MD 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129 | Padmaja Chalasani, MD Grand Lake Primary Care At St Marys, 1140 S Knoxville Ave Ste A, Saint Marys, OH 45885-2609 Ph: (419) 394-9959 |
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