Shravan Reddy Kambam, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Saddle Brook, New Jersey. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Central Avenue Professional Services, Pc and his current practice location is
160 Pehle Avenue, Saddle Brook, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 881-1000.
Shravan Reddy Kambam is licensed to practice in New Jersey (license number 25MA0794300) 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 1124055272.
Physician's Profile
| Full Name | Shravan Reddy Kambam |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 22 Years |
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| Location | 160 Pehle Avenue, Saddle Brook, New Jersey |
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| Accepts Medicare Assignments | Yes. He 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:
- Shravan Reddy Kambam attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2002
NPI Data:
- NPI Number: 1124055272
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 03/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 8325056849
- Enrollment ID: I20060324000574
Medical Identifiers
Medical identifiers for Shravan Reddy Kambam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124055272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 25MA0794300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Avenue Professional Services, Pc | 7214258003 | 43 |
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. Shravan Reddy Kambam allows following entities to bill medicare on his behalf.
| Entity Name | Central Avenue Professional Services, Pc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1447649694
PECOS PAC ID: 7214258003
Enrollment ID: O20150604002544 |
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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. Shravan Reddy Kambam 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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Shravan Reddy Kambam, MD
1515 Broad Street, Suite B-130,
Bloomfield, NJ 07003-3085
Ph: (973) 873-7000 | Shravan Reddy Kambam, MD
160 Pehle Avenue,
Saddle Brook, NJ 07663-5227
Ph: (201) 881-1000 |
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