Sandhya Sureddi, MD is a medicare enrolled "Internal Medicine" physician in South Milwaukee, Wisconsin. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Lakeshore Medical Clinic Llc and her current practice location is
3611 S Chicago Ave, South Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 762-7270.
Sandhya Sureddi is licensed to practice in Wisconsin (license number 38991-20) 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 1124134655.
Physician's Profile
| Full Name | Sandhya Sureddi |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 32 Years |
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| Location | 3611 S Chicago Ave, South Milwaukee, Wisconsin |
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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. |
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Medical Education and Training:
- Sandhya Sureddi graduated from medical school in 1992
NPI Data:
- NPI Number: 1124134655
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 09/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729021472
- Enrollment ID: I20050603000879
Medical Identifiers
Medical identifiers for Sandhya Sureddi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124134655 | NPI | - | NPPES |
| 32363700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 38991-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeshore Medical Clinic Llc | 7719890730 | 293 |
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. Sandhya Sureddi allows following entities to bill medicare on her behalf.
| Entity Name | Lakeshore Medical Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481 |
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| Entity Name | Aurora Health Care Metro Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861447179
PECOS PAC ID: 8628986536
Enrollment ID: O20040114000498 |
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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. Sandhya Sureddi 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 |
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Sandhya Sureddi, MD
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Sandhya Sureddi, MD
3611 S Chicago Ave,
South Milwaukee, WI 53172-3738
Ph: (414) 762-7270 |
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