Dr Adhira Divagaran, MD in Larkspur, CA - Medicare Family Medicine

Dr Adhira Divagaran, MD is a medicare enrolled "Family Medicine" physician in Larkspur, California. Her current practice location is 1100 Larkspur Landing Cir Ste 10, Larkspur, California. You can reach out to her office (for appointments etc.) via phone at (415) 924-1214.

Dr Adhira Divagaran is licensed to practice in California (license number A188778) 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 1588243729.

Contact Information

	Dr Adhira Divagaran, MD
	1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836
	(415) 924-1214
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adhira Divagaran
Gender	Female
Speciality	Family Medicine
Location	1100 Larkspur Landing Cir Ste 10, Larkspur, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588243729
Provider Enumeration Date: 04/05/2021
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7214461060
Enrollment ID: I20241115001504

Medical Identifiers

Medical identifiers for Dr Adhira Divagaran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588243729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A188778 (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. Dr Adhira Divagaran allows following entities to bill medicare on her behalf.

Entity Name	Regents Univ Of California Ucsf
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124439807 PECOS PAC ID: 6305160300 Enrollment ID: O20150122001375

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. Dr Adhira Divagaran 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
Dr Adhira Divagaran, MD 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: () -	Dr Adhira Divagaran, MD 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939-1836 Ph: (415) 924-1214

Reviews and Comments

Family Medicine Doctors in Larkspur, CA

Dr. Dylan L Bellavance, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Bon Air Rd Ste 117, Larkspur, CA 94939 Phone: 415-448-1500
Stephen Gary Mlawsky, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 228 Old Quarry Rd N, Larkspur, CA 94939 Phone: 916-849-6178
Ms. Jacqueline Susanna Chan, D.O./OSTEOPATH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 Phone: 415-945-3213 Fax: 415-329-5080
Grace Fong, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Larkspur Landing Cir Ste 10, Larkspur, CA 94939 Phone: 415-924-1214 Fax: 415-924-1375

Dr Adhira Divagaran, MD - Medicare Family Medicine in Larkspur, CA