Dr Praveen K Gootam, MD - Medicare Psychiatry & Neurology in Tampa, FL

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Dr Praveen K Gootam, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Tampa, Florida. His current practice location is 13000 Bruce B. Downs Blvd, James A. Haley Va, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 972-2000.

Dr Praveen K Gootam is licensed to practice in Florida (license number ME99352) 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 1417148610.

Contact Information

Dr Praveen K Gootam, MD
13000 Bruce B. Downs Blvd, James A. Haley Va,
Tampa, FL 33612
(813) 972-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Praveen K Gootam
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location13000 Bruce B. Downs Blvd, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417148610
  • Provider Enumeration Date: 08/05/2007
  • Last Update Date: 12/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234398447
  • Enrollment ID: I20120307000800

Medical Identifiers

Medical identifiers for Dr Praveen K Gootam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417148610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084S0012XPsychiatry & Neurology - Sleep Medicine ME99352 (Florida)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry ME99352 (Florida)Primary
2084P0301XPsychiatry & Neurology - Brain Injury Medicine ME99352 (Florida)Secondary

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 Praveen K Gootam allows following entities to bill medicare on his behalf.
Entity NameBehavioral Health Management Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417052713
PECOS PAC ID: 1456262450
Enrollment ID: O20040115000480
Entity NameWinter Haven Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477599975
PECOS PAC ID: 4789578972
Enrollment ID: O20040210000095
Entity NameBaycare Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225312549
PECOS PAC ID: 4688649122
Enrollment ID: O20040830000131
Entity NameBaycare Behavioral Health Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245502152
PECOS PAC ID: 2567624836
Enrollment ID: O20120502000477

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 Praveen K Gootam 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 AddressPractice Location Address
Dr Praveen K Gootam, MD
13000 Bruce B Downs Blvd, Bldg 38, Rm C373,
Tampa, FL 33612-4745

Ph: (813) 972-2000		Dr Praveen K Gootam, MD
13000 Bruce B. Downs Blvd, James A. Haley Va,
Tampa, FL 33612

Ph: (813) 972-2000

Reviews and Comments


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Phone: 813-708-7869    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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