Kavita V Mamtora, MD in Santa Rosa, CA - Medicare Diagnostic Radiology

Kavita V Mamtora, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Santa Rosa, California. She graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 401 Bicentennial Way, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 571-4000.

Kavita V Mamtora is licensed to practice in California (license number A83570) 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 1740364728.

Contact Information

	Kavita V Mamtora, MD
	401 Bicentennial Way, Santa Rosa, CA 95403-2149
	(707) 571-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kavita V Mamtora
Gender	Female
Speciality	Diagnostic Radiology
Experience	31 Years
Location	401 Bicentennial Way, Santa Rosa, California
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 V Mamtora graduated from medical school in 1993

NPI Data:

NPI Number: 1740364728
Provider Enumeration Date: 10/25/2006
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 8022913714
Enrollment ID: I20031204001267

Medical Identifiers

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

Identifier	Type	State	Issuer
1740364728	NPI	-	NPPES
00A835700	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A83570 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital-santa Rosa	Santa rosa, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 V Mamtora allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Kavita V Mamtora 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 V Mamtora, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Kavita V Mamtora, MD 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 571-4000

Reviews and Comments

Radiology Doctors in Santa Rosa, CA

Alan A. Larocque, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000

Kavita V Mamtora, MD - Medicare Diagnostic Radiology in Santa Rosa, CA