Valerie Emi Sugiyama, MD - Medicare Gynecological Oncology in Modesto, CA

Valerie Emi Sugiyama, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Modesto, California. She went to University Of California, Irvine, California College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Gynecological Oncology. She is a member of the group practice Stanford Health Care and her current practice location is 1409 E Briggsmore Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 524-1211.

Valerie Emi Sugiyama is licensed to practice in California (license number A94717) 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 1548336795.

Contact Information

Valerie Emi Sugiyama, MD
1409 E Briggsmore Ave,
Modesto, CA 95355-2707
(209) 524-1211
Not Available

Map and Direction




Physician's Profile

Full NameValerie Emi Sugiyama
GenderFemale
SpecialityGynecological Oncology
Experience22 Years
Location1409 E Briggsmore Ave, Modesto, California
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:
  • Valerie Emi Sugiyama attended and graduated from University Of California, Irvine, California College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1548336795
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 04/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163422742
  • Enrollment ID: I20070104000308

Medical Identifiers

Medical identifiers for Valerie Emi Sugiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548336795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0201XObstetrics & Gynecology - Gynecologic Oncology A94717 (California)Secondary
207V00000XObstetrics & Gynecology A94717 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stanford Health Care - ValleycarePleasanton, CAHospital
Stanford Health CareStanford, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stanford Health Care67097974912579

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. Valerie Emi Sugiyama allows following entities to bill medicare on her behalf.
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348

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. Valerie Emi Sugiyama 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
Valerie Emi Sugiyama, MD
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 521-6097
Valerie Emi Sugiyama, MD
1409 E Briggsmore Ave,
Modesto, CA 95355-2707

Ph: (209) 524-1211

Reviews and Comments


Obstetrics & Gynecology Doctors in Modesto, CA

Maureen Vieira, N.P.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 200 W Coolidge Ave, Modesto, CA 95350
Phone: 209-577-5005    Fax: 209-521-1533
Dr. Christopher M. Grover, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1441 Florida Ave, Modesto, CA 95350
Phone: 209-579-5628    Fax: 209-579-5637
Susan C Ways, PHD MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Coolidge Ave, Modesto, CA 95350
Phone: 209-577-5005    Fax: 209-521-1533
Dr. James Laurence Bedell, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Justin T Hutchison, D.O.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 4601 Dale Rd, Modesto, CA 95356
Phone: 209-735-5000    
Dr. Tessa Lynn Reisinger, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355
Phone: 209-550-4720    Fax: 209-572-2923
Dr. Nickey Jafari, MD MPH
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1401 Spanos Ct, Modesto, CA 95355
Phone: 209-550-4720    

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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