Suresh K Menon, MD is a medicare enrolled "Dermatology" physician in Martinsburg, West Virginia. His current practice location is
1000 Tavern Rd, Suite 400, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 350-8733.
Suresh K Menon is licensed to practice in West Virginia (license number 23521) 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 1811956311.
Physician's Profile
Full Name | Suresh K Menon |
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Gender | Male |
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Speciality | Dermatology |
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Location | 1000 Tavern Rd, Martinsburg, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811956311
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 06/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 5991789018
- Enrollment ID: I20140129001857
Medical Identifiers
Medical identifiers for Suresh K Menon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811956311 | NPI | - | NPPES |
P01520669 | Other | WV | RAILROAD MEDICARE |
1811956311 | Medicaid | MD | |
404724900 | Medicaid | MD | |
P00110702 | Other | MD | RAILROAD |
61692304 | Other | MD | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | D55793 (Maryland) | Secondary |
207Q00000X | Family Medicine | D55793 (Maryland) | Secondary |
207Q00000X | Family Medicine | 23521 (West Virginia) | Secondary |
207R00000X | Internal Medicine | D0055793 (Maryland) | Secondary |
207N00000X | Dermatology | 23521 (West Virginia) | 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. Suresh K Menon allows following entities to bill medicare on his behalf.
Entity Name | Beckley Dermatology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720089279 PECOS PAC ID: 5496647067 Enrollment ID: O20040327000436 |
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Entity Name | Hahn Medical Practices, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972560753 PECOS PAC ID: 3577521020 Enrollment ID: O20060124000130 |
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Entity Name | Charter Dermatology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043099658 PECOS PAC ID: 8426497272 Enrollment ID: O20240412003943 |
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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. Suresh K Menon 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 |
Suresh K Menon, MD 148 Linden Dr, Suite 101, Winchester, VA 22601-6909 Ph: (540) 504-0066 | Suresh K Menon, MD 1000 Tavern Rd, Suite 400, Martinsburg, WV 25401-2845 Ph: (304) 350-8733 |
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