Vinee Srivastava, MD in Phoenix, AZ - Medicare Internal Medicine

Vinee Srivastava, MD is a medicare enrolled "Internal Medicine" physician in Phoenix, Arizona. Her current practice location is 3411 N 5th Ave., Ste 209, Regional Admin Office, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 789-0344.

Vinee Srivastava is licensed to practice in Arizona (license number 35930) 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 1720130628.

Contact Information

	Vinee Srivastava, MD
	3411 N 5th Ave., Ste 209, Regional Admin Office, Phoenix, AZ 85013-3812
	(602) 789-0344
	(602) 789-8389

Map and Direction

Physician's Profile

Full Name	Vinee Srivastava
Gender	Female
Speciality	Internal Medicine
Location	3411 N 5th Ave., Ste 209, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720130628
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/10/2018

Medicare PECOS Information:

PECOS PAC ID: 8628070687
Enrollment ID: I20070205000682

Medical Identifiers

Medical identifiers for Vinee Srivastava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720130628	NPI	-	NPPES
177262	Medicaid	AZ
112867	Other	AZ	MEDICARE-TYPE UNSPECIFIED
Z112869	Other	AZ	MEDICARE-TYPE UNSPECIFIED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35930 (Arizona)	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. Vinee Srivastava allows following entities to bill medicare on her behalf.

Entity Name	Hospitalists Of Arizona, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578564860 PECOS PAC ID: 2163335290 Enrollment ID: O20031112000571

Entity Name	Ternion Physician Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013466192 PECOS PAC ID: 6709157589 Enrollment ID: O20170814001018

Entity Name	Clark Medical And Post-acute Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437851417 PECOS PAC ID: 5991164402 Enrollment ID: O20230630001989

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. Vinee Srivastava 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
Vinee Srivastava, MD 3411 N 5th Ave., Ste. 209, Regional Admin Office, Phoenix, AZ 85013-3812 Ph: (602) 789-0344	Vinee Srivastava, MD 3411 N 5th Ave., Ste 209, Regional Admin Office, Phoenix, AZ 85013-3812 Ph: (602) 789-0344

Reviews and Comments

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Vinee Srivastava, MD - Medicare Internal Medicine in Phoenix, AZ