Panjini M Sivanna, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Thief River Falls, Minnesota. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Riverview Healthcare Association, Sanford Health Network North and his current practice location is
3001 Sanford Pkwy, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 683-2725.
Panjini M Sivanna is licensed to practice in Minnesota (license number 32058) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013948116.
Physician's Profile
Full Name | Panjini M Sivanna |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 52 Years |
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Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Panjini M Sivanna graduated from medical school in 1972
NPI Data:
- NPI Number: 1013948116
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315843596
- Enrollment ID: I20031209000581
Medical Identifiers
Medical identifiers for Panjini M Sivanna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013948116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 32058 (Minnesota) | Primary |
207LP2900X | Anesthesiology - Pain Medicine | 32058 (Minnesota) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 4806 (North Dakota) | Secondary |
Medical Facilities Affiliation
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. Panjini M Sivanna allows following entities to bill medicare on his behalf.
Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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Entity Name | Valley Medical Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164537569 PECOS PAC ID: 9133188204 Enrollment ID: O20041005000558 |
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Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
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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. Panjini M Sivanna 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 |
Panjini M Sivanna, MD Po Box 2010, Fargo, ND 58122-2484 Ph: () - | Panjini M Sivanna, MD 3001 Sanford Pkwy, Thief River Falls, MN 56701 Ph: (218) 683-2725 |
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