Marlene A Sturm, MD - Medicare Pediatrics in San Jose, CA

Marlene A Sturm, MD is a medicare enrolled "Pediatrics" physician in San Jose, California. Her current practice location is 1993 Mckee Rd, Evc Pediatrics Clinic, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 254-6320.

Marlene A Sturm is licensed to practice in California (license number G71121) 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 1396811360.

Contact Information

Marlene A Sturm, MD
1993 Mckee Rd, Evc Pediatrics Clinic,
San Jose, CA 95116-1406
(408) 254-6320
Not Available

Map and Direction




Physician's Profile

Full NameMarlene A Sturm
GenderFemale
SpecialityPediatrics
Location1993 Mckee Rd, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396811360
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 09/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991860637
  • Enrollment ID: I20090213000058

Medical Identifiers

Medical identifiers for Marlene A Sturm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396811360NPI-NPPES
00G711210MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics G71121 (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. Marlene A Sturm allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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. Marlene A Sturm 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 AddressPractice Location Address
Marlene A Sturm, MD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: () -
Marlene A Sturm, MD
1993 Mckee Rd, Evc Pediatrics Clinic,
San Jose, CA 95116-1406

Ph: (408) 254-6320

Reviews and Comments


Pediatrics Doctors in San Jose, CA

Dr. Thanhmai Duong, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Zanker Rd, San Jose, CA 95134
Phone: 408-451-6198    
Dr. Rita Roop Thakur, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 636 E Santa Clara St, San Jose, CA 95112
Phone: 408-307-2123    
Dr. Louis Edwin Girling Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 720 Empey Way, San Jose, CA 95128
Phone: 408-793-6230    
Dr. Jerry Mercado, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2505 Samaritan Drive, Suite 304, San Jose, CA 95124
Phone: 408-377-8100    
Dr. Perry F Lim,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1206 N Capitol Ave, Suite 204, San Jose, CA 95132
Phone: 408-929-2276    
Mrs. Latha B Vrittamani, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2505 Samaritan Drive, Ste 607, San Jose, CA 95124
Phone: 408-356-9900    Fax: 408-356-9939
Venny V. Lee, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 260 International Cir, San Jose, CA 95119
Phone: 408-972-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.