Dr Siva Pavani Nallam, MD in Stockton, CA

Dr Siva Pavani Nallam, MD is a medicare enrolled "Pediatrics" physician in Stockton, California. Her current practice location is 2349 N California St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 469-2229.

Dr Siva Pavani Nallam is licensed to practice in Pennsylvania (license number MD462023) 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 1659702819.

Contact Information

	Dr Siva Pavani Nallam, MD
	2349 N California St, Stockton, CA 95204-5505
	(209) 469-2229
	(209) 466-2436

Map and Direction

Physician's Profile

Full Name	Dr Siva Pavani Nallam
Gender	Female
Speciality	Pediatrics
Location	2349 N California St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659702819
Provider Enumeration Date: 12/12/2013
Last Update Date: 03/29/2022

Medicare PECOS Information:

PECOS PAC ID: 3779857495
Enrollment ID: I20200116001224

Medical Identifiers

Medical identifiers for Dr Siva Pavani Nallam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659702819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A161250 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	MD462023 (Pennsylvania)	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 Siva Pavani Nallam allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870

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 Siva Pavani Nallam 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 Siva Pavani Nallam, MD 2349 N California St, Stockton, CA 95204-5505 Ph: (630) 877-7629	Dr Siva Pavani Nallam, MD 2349 N California St, Stockton, CA 95204-5505 Ph: (209) 469-2229

Reviews and Comments

Pediatrics Doctors in Stockton, CA

Dr. Erica R Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207 Phone: 209-478-2622
Amparo Romero-hirahara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Davina Elvina Lopes De Menezes, Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-373-2859 Fax: 209-373-2873
John Arnel T. Macapinlac, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Daksha V. Vaid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2349 N California St, Stockton, CA 95204 Phone: 209-469-2229 Fax: 209-466-2436
Ange Mouttapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907

Dr Siva Pavani Nallam, MD - Medicare Pediatrics in Stockton, CA