Swapna Gummadi, MD - Medicare Hospitalist in West Chester, PA

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Swapna Gummadi, MD is a medicare enrolled "Hospitalist" physician in West Chester, Pennsylvania. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Clinical Care Associates Of The University Of Pennsylvania Health and her current practice location is 701 E Marshall St, West Chester, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 431-5000.

Swapna Gummadi is licensed to practice in Pennsylvania (license number MD459409) 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 1962632638.

Contact Information

Swapna Gummadi, MD
701 E Marshall St,
West Chester, PA 19380-4412
(610) 431-5000
Not Available

Map and Direction




Physician's Profile

Full NameSwapna Gummadi
GenderFemale
SpecialityHospitalist
Experience15 Years
Location701 E Marshall St, West Chester, Pennsylvania
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:
  • Swapna Gummadi graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1962632638
  • Provider Enumeration Date: 07/16/2009
  • Last Update Date: 11/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1355598061
  • Enrollment ID: I20161220001924

Medical Identifiers

Medical identifiers for Swapna Gummadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962632638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist MD459409 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chester County HospitalWest chester, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinical Care Associates Of The University Of Pennsylvania Health4688588866507

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. Swapna Gummadi allows following entities to bill medicare on her behalf.
Entity NameClinical Care Associates Of The University Of Pennsylvania Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972682995
PECOS PAC ID: 4688588866
Enrollment ID: O20031113000301
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. Swapna Gummadi 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
Swapna Gummadi, MD
701 E Marshall St,
West Chester, PA 19380-4412

Ph: (610) 431-5000		Swapna Gummadi, MD
701 E Marshall St,
West Chester, PA 19380-4412

Ph: (610) 431-5000

Reviews and Comments


Hospitalist Doctors in West Chester, PA

Kevin Sowti, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 701 E Marshall St, West Chester, PA 19380
Phone: 610-431-5000    
Dr. Richard O Oyelewu, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 701 E. Marshall St, West Chester, PA 19380
Phone: 610-431-5262    Fax: 484-337-4082
Dr. Renata Burigatto, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 701 E Marshall St, West Chester, PA 19380
Phone: 610-431-5000    

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.