Srimanasi Javvaji, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Yuma, Arizona. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Integrated Dermatology Of Yuma Pllc, Dean Health Systems Inc, United Skin Specialists Ltd, United Skin Specialists Illinois Ltd Pc and her current practice location is
2500 S 8th Ave, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 788-0785.
Srimanasi Javvaji is licensed to practice in Texas (license number R3351) 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 1750630125.
Physician's Profile
| Full Name | Srimanasi Javvaji |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 2500 S 8th Ave, Yuma, Arizona |
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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:
- Srimanasi Javvaji attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2012
NPI Data:
- NPI Number: 1750630125
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092001149
- Enrollment ID: I20230406000529
Medical Identifiers
Medical identifiers for Srimanasi Javvaji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750630125 | NPI | - | NPPES |
| 1750630125 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | R3351 (Texas) | Secondary |
| 207N00000X | Dermatology | 3116-320 (Wisconsin) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A141780 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 68538 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 125.061605 (Illinois) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | R3351 (Texas) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 74511 (Minnesota) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2023009444 (Missouri) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 94587 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35.147986 (Ohio) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Integrated Dermatology Of Yuma Pllc | 2860632122 | 3 |
| Dean Health Systems Inc | 7012827983 | 1068 |
| United Skin Specialists Ltd | 0446558993 | 11 |
| United Skin Specialists Illinois Ltd Pc | 6709138258 | 9 |
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. Srimanasi Javvaji allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Dermatology Of Yuma Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376883801
PECOS PAC ID: 2860632122
Enrollment ID: O20130709000811 |
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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. Srimanasi Javvaji 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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Srimanasi Javvaji, MD
2604b El Camino Real Ste 364,
Carlsbad, CA 92008-1214
Ph: () - | Srimanasi Javvaji, MD
2500 S 8th Ave,
Yuma, AZ 85364-7118
Ph: (928) 788-0785 |
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