Suseela Devi Prasad Yitta, MD is a medicare enrolled "Pediatrics" physician in Pollok, Texas. Her current practice location is
6844 N Us Highway 69, Pollok, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 853-8249.
Suseela Devi Prasad Yitta is licensed to practice in New York (license number 131924) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336242932.
Physician's Profile
Full Name | Suseela Devi Prasad Yitta |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 6844 N Us Highway 69, Pollok, Texas |
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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: 1336242932
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 02/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 2860718590
- Enrollment ID: I20150224000772
Medical Identifiers
Medical identifiers for Suseela Devi Prasad Yitta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336242932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 131924 (New York) | Primary |
208000000X | Pediatrics | F6178 (Texas) | Secondary |
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. Suseela Devi Prasad Yitta allows following entities to bill medicare on her behalf.
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
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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. Suseela Devi Prasad Yitta 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 |
Suseela Devi Prasad Yitta, MD Po Box 1648, Lufkin, TX 75902-1648 Ph: (936) 853-8249 | Suseela Devi Prasad Yitta, MD 6844 N Us Highway 69, Pollok, TX 75969-4548 Ph: (936) 853-8249 |
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