Dasa Satyam, - Medicare Pain Medicine in Edwardsville, PA

Dasa Satyam, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Edwardsville, Pennsylvania. His current practice location is 468 Northampton St, Edwardsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 718-1307.

Dasa Satyam is licensed to practice in Pennsylvania (license number MD036767L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225088347.

Contact Information

Dasa Satyam,
468 Northampton St,
Edwardsville, PA 18704-4566
(570) 718-1307
Not Available



Physician's Profile

Full NameDasa Satyam
GenderMale
SpecialityPain Medicine - Interventional Pain Medicine
Location468 Northampton St, Edwardsville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225088347
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 05/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284712670
  • Enrollment ID: I20080425000251

Medical Identifiers

Medical identifiers for Dasa Satyam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225088347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine MD036767L (Pennsylvania)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. Dasa Satyam allows following entities to bill medicare on his behalf.
Entity NameDsp 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093194276
PECOS PAC ID: 3678886710
Enrollment ID: O20150720001165

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Entity NameCleanslate Medical Group Of Pennsylvania Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184177263
PECOS PAC ID: 8426334400
Enrollment ID: O20170405000660

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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. Dasa Satyam 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
Dasa Satyam,
Po Box 1023,
Kingston, PA 18704-0023

Ph: () -
Dasa Satyam,
468 Northampton St,
Edwardsville, PA 18704-4566

Ph: (570) 718-1307

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Pain Medicine Doctors in Edwardsville, PA


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