Dr Nisha K Surenderanath, MD in Fredericksburg, VA - Medicare Pediatrics

Dr Nisha K Surenderanath, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Fredericksburg, Virginia. Her current practice location is 605 Emancipation Hwy, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 310-0117.

Dr Nisha K Surenderanath is licensed to practice in Virginia (license number 0101272856) 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 1003992686.

Contact Information

	Dr Nisha K Surenderanath, MD
	605 Emancipation Hwy, Fredericksburg, VA 22401-8403
	(540) 310-0117
	(540) 310-4736

Physician's Profile

Full Name	Dr Nisha K Surenderanath
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	605 Emancipation Hwy, Fredericksburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003992686
Provider Enumeration Date: 10/27/2006
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9739277393
Enrollment ID: I20231018003525

Medical Identifiers

Medical identifiers for Dr Nisha K Surenderanath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003992686	NPI	-	NPPES
3000900	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	42283 (Tennessee)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	0101272856 (Virginia)	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. Dr Nisha K Surenderanath allows following entities to bill medicare on her behalf.

Entity Name	Uva Community Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151

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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. Dr Nisha K Surenderanath 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
Dr Nisha K Surenderanath, MD 605 Emancipation Hwy Ste 101, Fredericksburg, VA 22401-8403 Ph: (423) 463-4713	Dr Nisha K Surenderanath, MD 605 Emancipation Hwy, Fredericksburg, VA 22401-8403 Ph: (540) 310-0117

News Archive

UC Davis Clinical Translational Science Center receives its third NIH award renewal

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New shorter treatment regimen found to be safer, more effective at treating drug-resistant TB

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Pediatrics Doctors in Fredericksburg, VA

Dr. Christina Josephine Tambasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-498-4702
Dr. Verne Elise Rochford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4604 Spotsylvania Pkwy Ste 200, Fredericksburg, VA 22408 Phone: 540-423-6000 Fax: 540-423-6655
Dr. Catherine Nana Abban, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 Hospital Dr, Fredericksburg, VA 22401 Phone: 540-368-3700
Bernadette Wells, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4107 Lafayette Blvd, Suite 2, Fredericksburg, VA 22408 Phone: 540-891-0246 Fax: 540-891-0584
Dr. Sharon Young Shaw, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10600 Spotsylvania Ave, Fredericksburg, VA 22408 Phone: 804-380-3842
Dr. Blair Mcclintock Ryland Lethbridge, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2632 Salem Church Rd, Fredericksburg, VA 22407 Phone: 540-899-3440 Fax: 540-899-3434

Dr Nisha K Surenderanath, MD - Medicare Pediatrics in Fredericksburg, VA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

UC Davis Clinical Translational Science Center receives its third NIH award renewal

NextBio predicts mechanisms underlying drug toxicity and identifies new cancer biomarker

New shorter treatment regimen found to be safer, more effective at treating drug-resistant TB

First Edition: July 1, 2013

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

UC Davis Clinical Translational Science Center receives its third NIH award renewal

NextBio predicts mechanisms underlying drug toxicity and identifies new cancer biomarker

New shorter treatment regimen found to be safer, more effective at treating drug-resistant TB

First Edition: July 1, 2013

Pediatrics Doctors in Fredericksburg, VA