Raj V Dasari, MD in Antioch, CA - Medicare Emergency Medicine

Raj V Dasari, MD is a medicare enrolled "Emergency Medicine" physician in Antioch, California. His current practice location is 3400 Delta Fair Blvd, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 779-5000.

Raj V Dasari is licensed to practice in California (license number A64949) 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 1053499145.

Contact Information

	Raj V Dasari, MD
	3400 Delta Fair Blvd, Antioch, CA 94509-4004
	(925) 779-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Raj V Dasari
Gender	Male
Speciality	Emergency Medicine
Location	3400 Delta Fair Blvd, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053499145
Provider Enumeration Date: 11/02/2006
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 4082898069
Enrollment ID: I20110415000633

Medical Identifiers

Medical identifiers for Raj V Dasari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053499145	NPI	-	NPPES
00A649490	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A64949 (California)	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. Raj V Dasari allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Raj V Dasari 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
Raj V Dasari, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Raj V Dasari, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5000

Reviews and Comments

Emergency Medicine Doctors in Antioch, CA

Kathleen A Regacho, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-3522
Khanh D Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 510-350-2657
Mary Antionette Fitzsimons, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273
Ivan S. Cavaliere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Russell Gerald Rodriguez, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273
Susan Woodmansee, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273

Raj V Dasari, MD - Medicare Emergency Medicine in Antioch, CA