Jane P Addagatla, MD is a medicare enrolled "Internal Medicine" physician in Mcclellan Park, California. Her current practice location is
Va Mcclellan Opc, 5342 Dudley Blvd ,bldg 98, Mcclellan Park, California. You can reach out to her office (for appointments etc.) via phone at
(916) 561-7400.
Jane P Addagatla is licensed to practice in California (license number A72265) 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 1073596581.
Physician's Profile
Full Name | Jane P Addagatla |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | Va Mcclellan Opc, Mcclellan Park, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073596581
- Provider Enumeration Date: 11/29/2005
- Last Update Date: 07/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820287626
- Enrollment ID: I20190626003533
Medical Identifiers
Medical identifiers for Jane P Addagatla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073596581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A72265 (California) | Primary |
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. Jane P Addagatla 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 |
Jane P Addagatla, MD Va Mcclellan Opc, 5342 Dudley Blvd ,bldg 98, Mcclellan Park, CA 95652 Ph: (916) 561-7400 | Jane P Addagatla, MD Va Mcclellan Opc, 5342 Dudley Blvd ,bldg 98, Mcclellan Park, CA 95652 Ph: (916) 561-7400 |
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