Vasudha Mahajan, MBBS is a medicare enrolled "Pediatrics" physician in Crestwood, Kentucky. Her current practice location is
6411 Veterans Memorial Pkwy Ste 200, Crestwood, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 394-6555.
Vasudha Mahajan is licensed to practice in Kentucky (license number 55015) 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 1689081515.
Physician's Profile
| Full Name | Vasudha Mahajan |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6411 Veterans Memorial Pkwy Ste 200, Crestwood, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689081515
- Provider Enumeration Date: 07/11/2014
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325449887
- Enrollment ID: I20210622002600
Medical Identifiers
Medical identifiers for Vasudha Mahajan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689081515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | BP1-0050285 (Texas) | Secondary |
| 208000000X | Pediatrics | 55015 (Kentucky) | 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. Vasudha Mahajan allows following entities to bill medicare on her behalf.
| Entity Name | Norton Childrens Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457999096
PECOS PAC ID: 3779917596
Enrollment ID: O20200102000758 |
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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. Vasudha Mahajan 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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Vasudha Mahajan, MBBS
Po Box 776879,
Chicago, IL 60677-6879
Ph: (502) 588-9490 | Vasudha Mahajan, MBBS
6411 Veterans Memorial Pkwy Ste 200,
Crestwood, KY 40014-8698
Ph: (502) 394-6555 |
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