Cynthia Lynn Detata, MD in Palo Alto, CA - Medicare Obstetrics & Gynecology

Cynthia Lynn Detata, MD is a medicare enrolled "Obstetrics & Gynecology - Obstetrics" physician in Palo Alto, California. Her current practice location is 725 Welch Rd, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 497-8000.

Cynthia Lynn Detata is licensed to practice in California (license number A61118) 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 1144307141.

Contact Information

	Cynthia Lynn Detata, MD
	725 Welch Rd, Palo Alto, CA 94304-1601
	(650) 497-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Cynthia Lynn Detata
Gender	Female
Speciality	Obstetrics & Gynecology - Obstetrics
Location	725 Welch Rd, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144307141
Provider Enumeration Date: 11/01/2006
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4789587726
Enrollment ID: I20040128000811

Medical Identifiers

Medical identifiers for Cynthia Lynn Detata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144307141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	00A611180 (California)	Secondary
207V00000X	Obstetrics & Gynecology	A61118 (California)	Secondary
207VX0000X	Obstetrics & Gynecology - Obstetrics	A61118 (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. Cynthia Lynn Detata allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Cynthia Lynn Detata 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
Cynthia Lynn Detata, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000	Cynthia Lynn Detata, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000

Reviews and Comments

Obstetrics & Gynecology Doctors in Palo Alto, CA

Dr. Edward Lee Cohen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3801 Miranda Ave, #112, Palo Alto, CA 94304 Phone: 650-493-5000
Winona Tan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2917
Susan Diana Crowe, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Sylvie Leah Blumstein, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Amy E Judy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Sanaa Hasan Suharwardy, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Laura Brodzinsky, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000

Cynthia Lynn Detata, MD - Medicare Obstetrics & Gynecology in Palo Alto, CA