Kavita Bomb, MD in Memphis, TN - Medicare Internal Medicine

Kavita Bomb, MD is a medicare enrolled "Internal Medicine" physician in Memphis, Tennessee. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southeastern Physician Services Pc and her current practice location is 1959 Old Lake Pike, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (573) 825-2582.

Kavita Bomb is licensed to practice in Utah (license number 61620) 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 1518490986.

Contact Information

	Kavita Bomb, MD
	1959 Old Lake Pike, Memphis, TN 38119-5531
	(573) 825-2582
	Not Available

Map and Direction

Physician's Profile

Full Name	Kavita Bomb
Gender	Female
Speciality	Internal Medicine
Experience	25 Years
Location	1959 Old Lake Pike, Memphis, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kavita Bomb graduated from medical school in 1999

NPI Data:

NPI Number: 1518490986
Provider Enumeration Date: 04/04/2017
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2062838675
Enrollment ID: I20200813001210

Medical Identifiers

Medical identifiers for Kavita Bomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518490986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	61620 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Physician Services Pc	0042307852	499

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. Kavita Bomb allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571

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. Kavita Bomb 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
Kavita Bomb, MD 1959 Old Lake Pike, Memphis, TN 38119-5531 Ph: (573) 825-2582	Kavita Bomb, MD 1959 Old Lake Pike, Memphis, TN 38119-5531 Ph: (573) 825-2582

Reviews and Comments

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Manoj K Jain, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987
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Dr. Pedro Velasquez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 300, Memphis, TN 38119 Phone: 901-683-0024 Fax: 901-683-0086

Kavita Bomb, MD - Medicare Internal Medicine in Memphis, TN