Priya Sharma, DO - Medicare Family Medicine in El Cajon, CA

Priya Sharma, DO is a medicare enrolled "Family Medicine" physician in El Cajon, California. Her current practice location is 525 E Main St, El Cajon, California. You can reach out to her office (for appointments etc.) via phone at (619) 515-2498.

Priya Sharma is licensed to practice in California (license number 20A20337) 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 1639798986.

Contact Information

Priya Sharma, DO
525 E Main St,
El Cajon, CA 92020-4007
(619) 515-2498
Not Available

Map and Direction




Physician's Profile

Full NamePriya Sharma
GenderFemale
SpecialityFamily Medicine
Location525 E Main St, El Cajon, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639798986
  • Provider Enumeration Date: 04/15/2020
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9133581713
  • Enrollment ID: I20230814002837

Medical Identifiers

Medical identifiers for Priya Sharma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639798986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A20337 (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. Priya Sharma allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578672184
PECOS PAC ID: 3577476761
Enrollment ID: O20031211000464

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. Priya 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
Priya Sharma, DO
823 Gateway Center Way,
San Diego, CA 92102-4541

Ph: (619) 515-2300
Priya Sharma, DO
525 E Main St,
El Cajon, CA 92020-4007

Ph: (619) 515-2498

Reviews and Comments


Family Medicine Doctors in El Cajon, CA

Erin Arroyo, FNP-BC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 133 W Main St, 240, El Cajon, CA 92020
Phone: 619-401-0404    
Natasha Harmis, PA-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Lawndale Rd, El Cajon, CA 92019
Phone: 619-937-1877    
Teresa Maria Mogielnicki, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5442 Sycuan Rd, El Cajon, CA 92019
Phone: 619-445-0707    Fax: 619-445-0988
Arim Jayne Lee, NP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 855 E Madison Ave, El Cajon, CA 92020
Phone: 760-480-4747    Fax: 760-480-0828
Nejat Arab Jalisi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1320 E Madison Ave, El Cajon, CA 92021
Phone: 619-456-9800    Fax: 619-456-9804
Dr. John Kasawa, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 807 S Mollison Ave Unit 31, El Cajon, CA 92020
Phone: 858-349-8826    
Paige Alexandra Thiermann, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 855 E Madison Ave, El Cajon, CA 92020
Phone: 619-440-2751    

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.