Dhivya Srinivasa, MD is a medicare enrolled "Plastic Surgery" physician in Agoura Hills, California. Her current practice location is
29229 Canwood St Ste 101, Agoura Hills, California. You can reach out to her office (for appointments etc.) via phone at
(818) 336-1295.
Dhivya Srinivasa is licensed to practice in California (license number A134641) 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 1649596032.
Physician's Profile
Full Name | Dhivya Srinivasa |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 29229 Canwood St Ste 101, Agoura Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649596032
- Provider Enumeration Date: 04/11/2010
- Last Update Date: 07/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496062820
- Enrollment ID: I20180711000798
Medical Identifiers
Medical identifiers for Dhivya Srinivasa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649596032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | A134641 (California) | 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. Dhivya Srinivasa allows following entities to bill medicare on her behalf.
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477528503 PECOS PAC ID: 5496668410 Enrollment ID: O20050328001092 |
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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. Dhivya Srinivasa 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 |
Dhivya Srinivasa, MD 5887 Annie Oakley Rd, Hidden Hills, CA 91302-1200 Ph: (818) 671-7956 | Dhivya Srinivasa, MD 29229 Canwood St Ste 101, Agoura Hills, CA 91301-1503 Ph: (818) 336-1295 |
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