Jasleen Kaur Dhaliwal, is a medicare enrolled "General Acute Care Hospital" physician in Manteca, California. Her current practice location is
1205 E North St, Manteca, California. You can reach out to her office (for appointments etc.) via phone at
(951) 973-2033.
Jasleen Kaur Dhaliwal is licensed to practice in California (license number 95005648) 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 1093246779.
Physician's Profile
Full Name | Jasleen Kaur Dhaliwal |
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Gender | Female |
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Speciality | General Acute Care Hospital |
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Location | 1205 E North St, Manteca, 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: 1093246779
- Provider Enumeration Date: 03/23/2017
- Last Update Date: 04/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597032524
- Enrollment ID: I20170523002319
Medical Identifiers
Medical identifiers for Jasleen Kaur Dhaliwal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093246779 | NPI | - | NPPES |
1093246779 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 1093246779 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95005648 (California) | Secondary |
282N00000X | General Acute Care Hospital | 95005648 (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. Jasleen Kaur Dhaliwal allows following entities to bill medicare on her behalf.
Entity Name | Columbia Emergency Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871551119 PECOS PAC ID: 2668376500 Enrollment ID: O20031121000897 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Other Medical Care Group |
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Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
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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. Jasleen Kaur Dhaliwal 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 |
Jasleen Kaur Dhaliwal, 1205 E North St, Manteca, CA 95336-4900 Ph: (951) 973-2033 | Jasleen Kaur Dhaliwal, 1205 E North St, Manteca, CA 95336-4900 Ph: (951) 973-2033 |
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