Susan Dorairaj, PMHNP-BC in Los Angeles, CA - Medicare Nurse Practitioner

Susan Dorairaj, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Los Angeles, California. Her current practice location is 5321 Via Marisol, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 478-8200.

Susan Dorairaj is licensed to practice in California (license number 95006080) 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 1720592520.

Contact Information

	Susan Dorairaj, PMHNP-BC
	5321 Via Marisol, Los Angeles, CA 90042-4883
	(323) 478-8200
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Dorairaj
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5321 Via Marisol, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720592520
Provider Enumeration Date: 12/01/2017
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8628045994
Enrollment ID: I20240224000368

Medical Identifiers

Medical identifiers for Susan Dorairaj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720592520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95006080 (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. Susan Dorairaj allows following entities to bill medicare on her behalf.

Entity Name	All-inclusive Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093019051 PECOS PAC ID: 5294905006 Enrollment ID: O20110906000533

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. Susan Dorairaj 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
Susan Dorairaj, PMHNP-BC 1311 N. San Fernando Blvd., Burbank, CA 91504 Ph: (818) 843-9900	Susan Dorairaj, PMHNP-BC 5321 Via Marisol, Los Angeles, CA 90042-4883 Ph: (323) 478-8200

Reviews and Comments

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Susan Dorairaj, PMHNP-BC - Medicare Nurse Practitioner in Los Angeles, CA