Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP in Fountain Valley, CA

Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP is a medicare enrolled "Nurse Practitioner - Family" in Fountain Valley, California. Her current practice location is 11180 Warner Ave Ste 165, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (714) 429-5886.

Mrs Sridevi Karumari Prasatham Kalyanasundaram is licensed to practice in California (license number 95006542) 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 1164950085.

Contact Information

	Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP
	11180 Warner Ave Ste 165, Fountain Valley, CA 92708-7515
	(714) 429-5886
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sridevi Karumari Prasatham Kalyanasundaram
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11180 Warner Ave Ste 165, Fountain Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164950085
Provider Enumeration Date: 05/24/2017
Last Update Date: 05/24/2017

Medicare PECOS Information:

PECOS PAC ID: 2365870888
Enrollment ID: I20200317000724

Medical Identifiers

Medical identifiers for Mrs Sridevi Karumari Prasatham Kalyanasundaram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164950085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95006542 (California)	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. Mrs Sridevi Karumari Prasatham Kalyanasundaram allows following entities to bill medicare on her behalf.

Entity Name	Hoag Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936

Entity Name	Dispatchhealth-ca, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639752553 PECOS PAC ID: 4789086455 Enrollment ID: O20210719000230

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. Mrs Sridevi Karumari Prasatham Kalyanasundaram 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
Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP 323 Oak Gln, Irvine, CA 92618-4705 Ph: (401) 297-8181	Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP 11180 Warner Ave Ste 165, Fountain Valley, CA 92708-7515 Ph: (714) 429-5886

Reviews and Comments

Nurse Practitioner Nurses in Fountain Valley, CA

Leah Haddad, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11180 Warner Ave Ste 351, Fountain Valley, CA 92708 Phone: 714-698-0300
Kerry E Wood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5100, Fountain Valley, CA 92708 Phone: 714-546-2238 Fax: 714-434-8145
Mrs. Tran Chau, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9920 Talbert Ave, Fountain Valley, CA 92708 Phone: 714-378-7428 Fax: 714-378-7474
Dr. Timothy Franklin Horttor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18111 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-378-7000
Kelsey Vy Ngole, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16040 Harbor Blvd Ste G, Fountain Valley, CA 92708 Phone: 714-531-7930
Joee Quyen Truong, R.N Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17100 Euclid St, Fountain Valley, CA 92708 Phone: 714-966-7200
Karen Truong-fahman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17390 Brookhurst St Ste 350, Fountain Valley, CA 92708 Phone: 714-463-5189

Mrs Sridevi Karumari Prasatham Kalyanasundaram, DNP - Medicare Nurse Practitioner in Fountain Valley, CA