Swathi Sethuram, MD - Medicare Pediatrics in New Brunswick, NJ

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Swathi Sethuram, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in New Brunswick, New Jersey. Her current practice location is 254 Easton Ave, New Brunswick, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 745-8574.

Swathi Sethuram is licensed to practice in New Jersey (license number 25MA10831300) 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 1033514369.

Contact Information

Swathi Sethuram, MD
254 Easton Ave,
New Brunswick, NJ 08901-1766
(732) 745-8574
Not Available

Map and Direction




Physician's Profile

Full NameSwathi Sethuram
GenderFemale
SpecialityPediatrics - Pediatric Endocrinology
Location254 Easton Ave, New Brunswick, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033514369
  • Provider Enumeration Date: 10/29/2014
  • Last Update Date: 11/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163761677
  • Enrollment ID: I20211220001392

Medical Identifiers

Medical identifiers for Swathi Sethuram such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033514369NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0205XPediatrics - Pediatric Endocrinology 25MA10831300 (New Jersey)Primary
2080P0205XPediatrics - Pediatric Endocrinology 289700 (New York)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. Swathi Sethuram allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351

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. Swathi Sethuram 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 AddressPractice Location Address
Swathi Sethuram, MD
7 Livingston Ave Apt 1605,
New Brunswick, NJ 08901-4094

Ph: (347) 951-6246		Swathi Sethuram, MD
254 Easton Ave,
New Brunswick, NJ 08901-1766

Ph: (732) 745-8574

Reviews and Comments


Pediatrics Doctors in New Brunswick, NJ

Dr. I. Mark Hiatt, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 254 Easton Ave, New Brunswick, NJ 08901
Phone: 732-745-8600    Fax: 732-249-9572
Lynne Weiss,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 French Street, Suite 2300, New Brunswick, NJ 08901
Phone: 732-235-6230    Fax: 732-235-6620
Margaret Masterson,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 195 Little Albany St, New Brunswick, NJ 08901
Phone: 732-235-6455    Fax: 732-235-6462
Lisanne Hauck,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901
Phone: 732-235-7900    
Daniel Notterman,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901
Phone: 732-235-7900    
Minh-tu Do, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901
Phone: 732-235-7893    Fax: 732-235-9340
Christoph Ohngemach, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 254 Easton Ave, New Brunswick, NJ 08901
Phone: 732-745-8600    Fax: 732-745-8725

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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