Pallavi Sharma, MD - Medicare Family Practice in Modesto, CA

Pallavi Sharma, MD is a medicare enrolled "Emergency Medicine" physician in Modesto, California. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 521-6097.

Pallavi Sharma is licensed to practice in California (license number A91194) 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 1013009125.

Contact Information

Pallavi Sharma, MD
600 Coffee Rd,
Modesto, CA 95355-4201
(209) 521-6097
Not Available

Map and Direction




Physician's Profile

Full NamePallavi Sharma
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location600 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pallavi Sharma graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1013009125
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 11/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0042216756
  • Enrollment ID: I20061019000352

Medical Identifiers

Medical identifiers for Pallavi Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013009125NPI-NPPES
A91194OtherCAMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A91194 (California)Primary
207Q00000XFamily Medicine A91194 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945151919

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. Pallavi Sharma allows following entities to bill medicare on her behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Pallavi Sharma 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
Pallavi Sharma, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 521-6097
Pallavi Sharma, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 521-6097

Reviews and Comments


Emergency Medicine Doctors in Modesto, CA

John Joseph Gallo, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Dale Rd, Modesto, CA 95356
Phone: 209-557-1000    
Phillip Michael Chan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350
Phone: 650-388-6383    
Dr. Paul Anthony Raykov, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Gregory P. Bowerman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Coffee Rd, Modesto, CA 95355
Phone: 209-569-7600    
Christopher Samuel Lau, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-6810    
Sushma V Shah, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4301 N Star Way, Modesto, CA 95356
Phone: 209-342-2300    Fax: 209-524-4240

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.