Sumana G Setty, MD - Medicare Family Practice in Boston, MA

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Sumana G Setty, MD is a medicare enrolled "Family Medicine" physician in Boston, Massachusetts. She went to New York Medical College and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Boston University Family Medicine Inc, Internal Medical Associates-ebnhc and her current practice location is 1 Boston Medical Center Place, Dowling 5, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 414-4465.

Sumana G Setty is licensed to practice in Massachusetts (license number 285675) 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 1710417563.

Contact Information

Sumana G Setty, MD
1 Boston Medical Center Place, Dowling 5,
Boston, MA 02118-2908
(617) 414-4465
(617) 414-3345

Map and Direction




Physician's Profile

Full NameSumana G Setty
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location1 Boston Medical Center Place, Boston, Massachusetts
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:
  • Sumana G Setty attended and graduated from New York Medical College in 2017
  NPI Data:
  • NPI Number: 1710417563
  • Provider Enumeration Date: 06/14/2017
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820368244
  • Enrollment ID: I20210510001008

Medical Identifiers

Medical identifiers for Sumana G Setty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710417563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 285675 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Boston Medical CenterBoston, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Boston University Family Medicine Inc044615407464
Internal Medical Associates-ebnhc6103814371214

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. Sumana G Setty allows following entities to bill medicare on her behalf.
Entity NameBoston University Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134166390
PECOS PAC ID: 0446154074
Enrollment ID: O20031125000010
Entity NameChild Health Foundation Of Boston Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619969920
PECOS PAC ID: 1557263340
Enrollment ID: O20040122000712
Entity NameInternal Medical Associates-ebnhc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558481879
PECOS PAC ID: 6103814371
Enrollment ID: O20040505000853
Entity NameGreater Lawrence Family Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699774646
PECOS PAC ID: 0446221956
Enrollment ID: O20040805001067
Entity NameBoston University Obstetrics And Gynecology Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459568
PECOS PAC ID: 1456323153
Enrollment ID: O20070525000149
Entity NameEast Boston Neighborhood Health Center Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316994411
PECOS PAC ID: 9032356050
Enrollment ID: O20130513000045

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. Sumana G Setty 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
Sumana G Setty, MD
801 Albany Street, Fl Ground,
Boston, MA 02119-3791

Ph: () -		Sumana G Setty, MD
1 Boston Medical Center Place, Dowling 5,
Boston, MA 02118-2908

Ph: (617) 414-4465

Reviews and Comments


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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).

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