Dr Poornima Vanguri, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Walnut Creek, California. She went to University Of Maryland School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Colorectal Surgery (proctology). She is a member of the group practice Bass Medical Group and her current practice location is
365 Lennon Ln Ste 290, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at
(925) 274-9000.
Dr Poornima Vanguri is licensed to practice in California (license number A166381) 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 1144457375.
Physician's Profile
Full Name | Dr Poornima Vanguri |
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Gender | Female |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 15 Years |
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Location | 365 Lennon Ln Ste 290, Walnut Creek, California |
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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. |
Medical Education and Training:
- Dr Poornima Vanguri attended and graduated from University Of Maryland School Of Medicine in 2009
NPI Data:
- NPI Number: 1144457375
- Provider Enumeration Date: 06/15/2009
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678713997
- Enrollment ID: I20200306001372
Medical Identifiers
Medical identifiers for Dr Poornima Vanguri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144457375 | NPI | - | NPPES |
A166381 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | ME 126670 (Florida) | Secondary |
208C00000X | Colon & Rectal Surgery | ME126670 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | ME126670 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0116021363 (Virginia) | Secondary |
208C00000X | Colon & Rectal Surgery | A166381 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bass Medical Group | 9032111281 | 303 |
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 Poornima Vanguri allows following entities to bill medicare on her behalf.
Entity Name | John Muir Trauma Physicians Billing Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452 |
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Entity Name | Bass Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174253405 PECOS PAC ID: 9032111281 Enrollment ID: O20070201000181 |
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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 Poornima Vanguri 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 Poornima Vanguri, MD 365 Lennon Ln Ste 290, Walnut Creek, CA 94598-5915 Ph: (925) 274-9000 | Dr Poornima Vanguri, MD 365 Lennon Ln Ste 290, Walnut Creek, CA 94598-5915 Ph: (925) 274-9000 |
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