Dr Pavani Adusumilli, MBBS is a medicare enrolled "Family Medicine" physician in Linthicum Heights, Maryland. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Five Star Physician Services Llc and her current practice location is
785 Elkridge Landing Rd Ste 300, Linthicum Heights, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 323-3014.
Dr Pavani Adusumilli is licensed to practice in Maryland (license number D0080803) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568624955.
Physician's Profile
| Full Name | Dr Pavani Adusumilli |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 23 Years |
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| Location | 785 Elkridge Landing Rd Ste 300, Linthicum Heights, Maryland |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Pavani Adusumilli graduated from medical school in 2001
NPI Data:
- NPI Number: 1568624955
- Provider Enumeration Date: 06/27/2008
- Last Update Date: 06/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052575511
- Enrollment ID: I20160203002030
Medical Identifiers
Medical identifiers for Dr Pavani Adusumilli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568624955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | D0080803 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Five Star Physician Services Llc | 3779572862 | 18 |
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 Pavani Adusumilli allows following entities to bill medicare on her behalf.
| Entity Name | Five Star Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083654479
PECOS PAC ID: 3779572862
Enrollment ID: O20040528000495 |
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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 Pavani Adusumilli 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 |
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Dr Pavani Adusumilli, MBBS
785 Elkridge Landing Rd Ste 300,
Linthicum Heights, MD 21090-2958
Ph: (443) 323-3014 | Dr Pavani Adusumilli, MBBS
785 Elkridge Landing Rd Ste 300,
Linthicum Heights, MD 21090-2958
Ph: (443) 323-3014 |
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