Dr Mary Jessie Sumithra, MD in Modesto, CA

Dr Mary Jessie Sumithra, MD is a medicare enrolled "Pediatrics" physician in Modesto, California. Her current practice location is 4125 Bangs Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 557-1630.

Dr Mary Jessie Sumithra is licensed to practice in California (license number A105261) 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 1235364258.

Contact Information

	Dr Mary Jessie Sumithra, MD
	4125 Bangs Ave, Modesto, CA 95356-8713
	(209) 557-1630
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary Jessie Sumithra
Gender	Female
Speciality	Pediatrics
Location	4125 Bangs Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235364258
Provider Enumeration Date: 05/19/2009
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7911045745
Enrollment ID: I20091116000110

Medical Identifiers

Medical identifiers for Dr Mary Jessie Sumithra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235364258	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A105261 (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. Dr Mary Jessie Sumithra allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Mary Jessie Sumithra 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 Mary Jessie Sumithra, MD 501 6th St, Apt 12-j, Brooklyn, NY 11215-3671 Ph: () -	Dr Mary Jessie Sumithra, MD 4125 Bangs Ave, Modesto, CA 95356-8713 Ph: (209) 557-1630

Reviews and Comments

Pediatrics Doctors in Modesto, CA

Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323
Dena Ann Lenser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3109 Coffee Rd, Ste A, Modesto, CA 95355 Phone: 209-522-0001 Fax: 209-549-7077

Dr Mary Jessie Sumithra, MD - Medicare Pediatrics in Modesto, CA