Dr Pallavi Archana Kumbla, MD is a medicare enrolled "Plastic Surgery" physician in Cumming, Georgia. Her current practice location is
4150 Deputy Bill Cantrell Memorial Road, Suite 240, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 931-8874.
Dr Pallavi Archana Kumbla is licensed to practice in Georgia (license number 90934) 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 1134462534.
Physician's Profile
Full Name | Dr Pallavi Archana Kumbla |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 4150 Deputy Bill Cantrell Memorial Road, Cumming, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134462534
- Provider Enumeration Date: 04/03/2013
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830417401
- Enrollment ID: I20240117001786
Medical Identifiers
Medical identifiers for Dr Pallavi Archana Kumbla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134462534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 90934 (Georgia) | 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 Pallavi Archana Kumbla allows following entities to bill medicare on her behalf.
Entity Name | Northside Surgical Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
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Entity Name | Astra Plastic Surgery, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992063606 PECOS PAC ID: 6709042104 Enrollment ID: O20231229000432 |
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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 Pallavi Archana Kumbla 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 Pallavi Archana Kumbla, MD 4150 Deputy Bill Cantrell Memorial Road, Suite 240, Cumming, GA 30040 Ph: (678) 931-8874 | Dr Pallavi Archana Kumbla, MD 4150 Deputy Bill Cantrell Memorial Road, Suite 240, Cumming, GA 30040-3004 Ph: (678) 931-8874 |
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