Dr Michael Lee Bain Purviance, MD in Lodi, CA

Dr Michael Lee Bain Purviance, MD is a medicare enrolled "Internal Medicine" physician in Lodi, California. His current practice location is 975 S Fairmont Ave, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-3411.

Dr Michael Lee Bain Purviance is licensed to practice in California (license number A185488) 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 1568038933.

Contact Information

	Dr Michael Lee Bain Purviance, MD
	975 S Fairmont Ave, Lodi, CA 95240-5118
	(209) 334-3411
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael Lee Bain Purviance
Gender	Male
Speciality	Internal Medicine
Location	975 S Fairmont Ave, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568038933
Provider Enumeration Date: 05/27/2021
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1759828486
Enrollment ID: I20240731000388

Medical Identifiers

Medical identifiers for Dr Michael Lee Bain Purviance such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568038933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	A185488 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	A185488 (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 Michael Lee Bain Purviance allows following entities to bill medicare on his behalf.

Entity Name	County Of San Joaquin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287

Entity Name	Galen Inpatient Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680

Entity Name	San Joaquin Faculty Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742

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 Michael Lee Bain Purviance 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 Michael Lee Bain Purviance, MD 500 W Hospital Rd, French Camp, CA 95231-9693 Ph: (209) 468-6937	Dr Michael Lee Bain Purviance, MD 975 S Fairmont Ave, Lodi, CA 95240-5118 Ph: (209) 334-3411

Reviews and Comments

Internal Medicine Doctors in Lodi, CA

Frank T Huang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 W Vine St, Suite 22, Lodi, CA 95240 Phone: 209-334-8520 Fax: 209-334-2109
Harpreet Singh Parmar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001
Dr. Ghaus M Malik, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12945 N Highway 88, Lodi, CA 95240 Phone: 209-334-3923 Fax: 209-334-3985
Dr. Than Soe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Mani Mahdyoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 S Fairmont Ave Ste 5, Lodi, CA 95240 Phone: 209-366-2360 Fax: 209-366-2352
Shefali Dwarkanath Awatani, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 Fax: 209-368-3121
Joseph Kevin Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave Ste 130, Lodi, CA 95240 Phone: 209-366-2001 Fax: 209-366-2024

Dr Michael Lee Bain Purviance, MD - Medicare Internal Medicine in Lodi, CA