Gautam Dutta, in Cookeville, TN - Medicare Internal Medicine

Gautam Dutta, is a medicare enrolled "Hospitalist" physician in Cookeville, Tennessee. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and his current practice location is 1 Medical Center Blvd, Suite 103, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 783-2770.

Gautam Dutta is licensed to practice in Tennessee (license number MD45220) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245352970.

Contact Information

	Gautam Dutta,
	1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294
	(931) 783-2770
	(931) 525-1176

Map and Direction

Physician's Profile

Full Name	Gautam Dutta
Gender	Male
Speciality	Internal Medicine
Experience	30 Years
Location	1 Medical Center Blvd, Cookeville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gautam Dutta graduated from medical school in 1994

NPI Data:

NPI Number: 1245352970
Provider Enumeration Date: 04/04/2007
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 6103965413
Enrollment ID: I20140925000987

Medical Identifiers

Medical identifiers for Gautam Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245352970	NPI	-	NPPES
1516195	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD45220 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virginia Hospital Center	Arlington, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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. Gautam Dutta allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Gautam Dutta 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
Gautam Dutta, 127 N Oak Ave, Suite D, Cookeville, TN 38501-2435 Ph: (931) 783-5857	Gautam Dutta, 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501-4294 Ph: (931) 783-2770

Reviews and Comments

Hospitalist Doctors in Cookeville, TN

Dr. Sidney Lee Gilbert Jr., DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176
Mr. Jack Willard Carey Iii, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176
Rebekah Sprouse, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176
Trent L Nichols, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Suite 103, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176
Ms. Aparna Saha Chowdhury, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Blvd, Pob Suite 103, Cookeville, TN 38501 Phone: 931-783-2770 Fax: 931-525-1176
Khoi Tan Nguyen Tran, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899

Gautam Dutta, - Medicare Internal Medicine in Cookeville, TN