Sumati Bavisetty, MD is a medicare enrolled "Hospitalist" physician in Pomona, California. She went to University Of California, Irvine, California College Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
1818 N Orange Grove Ave, Suite # 204, Pomona, California. You can reach out to her office (for appointments etc.) via phone at
(909) 620-7200.
Sumati Bavisetty is licensed to practice in California (license number A120743) 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 1619234960.
Physician's Profile
| Full Name | Sumati Bavisetty |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 15 Years |
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| Location | 1818 N Orange Grove Ave, Pomona, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sumati Bavisetty attended and graduated from University Of California, Irvine, California College Of Medicine in 2010
NPI Data:
- NPI Number: 1619234960
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678728334
- Enrollment ID: I20130301000352
Medical Identifiers
Medical identifiers for Sumati Bavisetty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619234960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | A120743 (California) | Secondary |
| 208M00000X | Hospitalist | A120743 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Sumati Bavisetty allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Sumati Bavisetty 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 |
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Sumati Bavisetty, MD
5601 De Soto Ave, Hospitalist Office, 2nd Floor,
Woodland Hills, CA 91367-6701
Ph: (818) 482-5333 | Sumati Bavisetty, MD
1818 N Orange Grove Ave, Suite # 204,
Pomona, CA 91767-3028
Ph: (909) 620-7200 |
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