Dattanand Melukote Sudarshana, MD - Medicare Psychiatry & Neurology in Antioch, CA

Dattanand Melukote Sudarshana, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Antioch, California. His current practice location is 4053 Lone Tree Way Ste 100, Antioch, California. You can reach out to his office (for appointments etc.) via phone at (925) 776-7725.

Dattanand Melukote Sudarshana is licensed to practice in California (license number A1777777) 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 1710440656.

Contact Information

Dattanand Melukote Sudarshana, MD
4053 Lone Tree Way Ste 100,
Antioch, CA 94531-6210
(925) 776-7725
Not Available



Physician's Profile

Full NameDattanand Melukote Sudarshana
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location4053 Lone Tree Way Ste 100, Antioch, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710440656
  • Provider Enumeration Date: 04/08/2019
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385063015
  • Enrollment ID: I20230929001419

Medical Identifiers

Medical identifiers for Dattanand Melukote Sudarshana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710440656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology A1777777 (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. Dattanand Melukote Sudarshana allows following entities to bill medicare on his behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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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. Dattanand Melukote Sudarshana 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
Dattanand Melukote Sudarshana, MD
4053 Lone Tree Way Ste 100,
Antioch, CA 94531-6210

Ph: (925) 776-7725
Dattanand Melukote Sudarshana, MD
4053 Lone Tree Way Ste 100,
Antioch, CA 94531-6210

Ph: (925) 776-7725

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Psychiatry & Neurology Doctors in Antioch, CA

Richard Lee Russell, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509
Phone: 925-779-5000    
Carolyn S. Manson, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509
Phone: 925-779-5000    
Dr. Seth Christopher Thomas, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 3901 Lone Tree Way, Department Of Emergency Medicine, Antioch, CA 94509
Phone: 925-779-7200    
Dr. Stacie Daniels, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531
Phone: 925-813-3840    Fax: 925-813-3841
Kyle P. Owen, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2213 Buchanan Rd, Suite 203, Antioch, CA 94509
Phone: 925-779-5810    
Dr. Li Lan, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531
Phone: 925-777-6300    
Nnennaya Ekwutosi Nwokeji, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3454 Hillcrest Ave, Antioch, CA 94531
Phone: 925-325-8083    

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