Rattehalli R Sudesh, MD in Santa Clara, CA

Rattehalli R Sudesh, MD is a medicare enrolled "Ophthalmology" physician in Santa Clara, California. His current practice location is 710 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 851-1000.

Rattehalli R Sudesh is licensed to practice in California (license number A77767) 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 1245317171.

Contact Information

	Rattehalli R Sudesh, MD
	710 Lawrence Expy, Santa Clara, CA 95051-5173
	(408) 851-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Rattehalli R Sudesh
Gender	Male
Speciality	Ophthalmology
Location	710 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245317171
Provider Enumeration Date: 10/31/2006
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4284819400
Enrollment ID: I20110503000169

Medical Identifiers

Medical identifiers for Rattehalli R Sudesh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245317171	NPI	-	NPPES
00A777670	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	A77767 (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. Rattehalli R Sudesh 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. Rattehalli R Sudesh 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
Rattehalli R Sudesh, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Rattehalli R Sudesh, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000

Reviews and Comments

Ophthalmology Doctors in Santa Clara, CA

Rubin W. Kim, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Stuart Greene, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
John M. Lewis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Dr. Deborah Ann Gill, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Dept. 490, Santa Clara, CA 95051 Phone: 408-851-4100 Fax: 408-851-4019
Jason L. Lauffer, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
David G. Scott, MD, PHD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000

Rattehalli R Sudesh, MD - Medicare Ophthalmology in Santa Clara, CA