Elaine Rose Sumaquial, MD - Medicare Family Practice in Antioch, CA

Elaine Rose Sumaquial, MD is a medicare enrolled "Internal Medicine" physician in Antioch, California. 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 Permanente Medical Group Inc and her current practice location is 3400 Delta Fair Blvd, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 779-5090.

Elaine Rose Sumaquial is licensed to practice in California (license number A96626) 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 1316094089.

Contact Information

Elaine Rose Sumaquial, MD
3400 Delta Fair Blvd,
Antioch, CA 94509-4004
(925) 779-5090
Not Available

Map and Direction




Physician's Profile

Full NameElaine Rose Sumaquial
GenderFemale
SpecialityFamily Practice
Experience23 Years
Location3400 Delta Fair Blvd, Antioch, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elaine Rose Sumaquial graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1316094089
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921103748
  • Enrollment ID: I20070423000429

Medical Identifiers

Medical identifiers for Elaine Rose Sumaquial such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316094089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A96626 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102258376

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. Elaine Rose Sumaquial allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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. Elaine Rose Sumaquial 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
Elaine Rose Sumaquial, MD
2716 Moet Ln,
San Ramon, CA 94582-2880

Ph: () -
Elaine Rose Sumaquial, MD
3400 Delta Fair Blvd,
Antioch, CA 94509-4004

Ph: (925) 779-5090

Reviews and Comments


Internal Medicine Doctors in Antioch, CA

Chung M. Kung, MD
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Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531
Phone: 925-813-6500    
Prasad Pillai, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4721 Dallas Ranch Rd, Antioch, CA 94531
Phone: 925-778-0679    Fax: 925-778-3567
Dr. Doris Sofia Galina-da Silva, DORIS GALINADA SILVA
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Medicare: Accepting Medicare Assignments
Practice Location: 2370 Country Hills Dr Ste 101, Antioch, CA 94509
Phone: 925-779-9635    Fax: 925-779-9672
Dr. Patricia Anne Yabut Haro, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 916-854-6975    Fax: 916-854-6844
Dr. Kalyani Maganti, M.D.
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3903 Lone Tree Way, Suite 205, Antioch, CA 94509
Phone: 925-754-8710    Fax: 925-754-0765
Al G. Sumaquial, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509
Phone: 925-779-5000    
Veenu Goel Gupta, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Lone Tree Way, Antioch, CA 94509
Phone: 925-756-1192    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.