Phani Purushotham Morisetti, MD - Medicare Nephrology in Stockton, CA

Phani Purushotham Morisetti, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Stockton, California. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Lsu Health Sciences Center Shreveport Faculty Group Practice and his current practice location is 1801 E March Ln Ste B265, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 546-1868.

Phani Purushotham Morisetti is licensed to practice in California (license number C184332) 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 1053756924.

Contact Information

Phani Purushotham Morisetti, MD
1801 E March Ln Ste B265,
Stockton, CA 95210-6655
(209) 546-1868
(209) 461-6505

Map and Direction




Physician's Profile

Full NamePhani Purushotham Morisetti
GenderMale
SpecialityNephrology
Experience10 Years
Location1801 E March Ln Ste B265, Stockton, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phani Purushotham Morisetti graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1053756924
  • Provider Enumeration Date: 05/06/2013
  • Last Update Date: 03/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375840416
  • Enrollment ID: I20170207000474

Medical Identifiers

Medical identifiers for Phani Purushotham Morisetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053756924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 302690 (Louisiana)Secondary
207RN0300XInternal Medicine - Nephrology 302690 (Louisiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology C184332 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dci - ShreveportShreveport, LADialysis facility
Ochsner Lsu Health ShreveportShreveport, LAHospital
Ochsner Lsu Health MonroeMonroe, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lsu Health Sciences Center Shreveport Faculty Group Practice4082902721534

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. Phani Purushotham Morisetti allows following entities to bill medicare on his behalf.
Entity NameNortheast Louisiana Kidney Specialists,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413185
PECOS PAC ID: 5799748182
Enrollment ID: O20041106000139
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307

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. Phani Purushotham Morisetti 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
Phani Purushotham Morisetti, MD
1801 E March Ln Ste B265,
Stockton, CA 95210-6655

Ph: (209) 546-1868
Phani Purushotham Morisetti, MD
1801 E March Ln Ste B265,
Stockton, CA 95210-6655

Ph: (209) 546-1868

Reviews and Comments


Internal Medicine Doctors in Stockton, CA

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Dr. Ronald A Kass, MD
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Phone: 209-465-5731    Fax: 209-465-0230

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.