Dr Praveena Gopinatha Mallya, DO in Palo Alto, CA

Dr Praveena Gopinatha Mallya, DO is a medicare enrolled "Pediatrics" physician in Palo Alto, California. Her current practice location is 795 El Camino Real, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (650) 853-6558.

Dr Praveena Gopinatha Mallya is licensed to practice in California (license number 2OA12814) 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 1922020635.

Contact Information

	Dr Praveena Gopinatha Mallya, DO
	795 El Camino Real, Palo Alto, CA 94302-2302
	(650) 853-6558
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Praveena Gopinatha Mallya
Gender	Female
Speciality	Pediatrics
Location	795 El Camino Real, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922020635
Provider Enumeration Date: 07/24/2006
Last Update Date: 09/08/2016

Medicare PECOS Information:

PECOS PAC ID: 7416954409
Enrollment ID: I20160527000660

Medical Identifiers

Medical identifiers for Dr Praveena Gopinatha Mallya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922020635	NPI	-	NPPES
0219525	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS013741 (Pennsylvania)	Secondary
208000000X	Pediatrics	2OA12814 (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 Praveena Gopinatha Mallya allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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 Praveena Gopinatha Mallya 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 Praveena Gopinatha Mallya, DO 2350 W. El Camino Real, 2nd Floor, Mountain View, CA 94040-6203 Ph: () -	Dr Praveena Gopinatha Mallya, DO 795 El Camino Real, Palo Alto, CA 94302-2302 Ph: (650) 853-6558

Reviews and Comments

Pediatrics Doctors in Palo Alto, CA

Jean Chia, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 730 Welch Rd, Palo Alto, CA 94304 Phone: 650-721-6073
Crystal Lee Mackall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Somya Jalan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Erin E Holsinger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Dr. Jerome Linus Murphy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Peter Andrew Meaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000
Kenneth Ivers Weinberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-498-7103

Dr Praveena Gopinatha Mallya, DO - Medicare Pediatrics in Palo Alto, CA