Dr Deepa Gurusamy, MD - Medicare Family Practice in Hixson, TN

Dr Deepa Gurusamy, MD is a medicare enrolled "Family Medicine" physician in Hixson, Tennessee. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Banner -- University Medical Group and her current practice location is 1724 Hamill Rd Ste 214, Hixson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 778-9030.

Dr Deepa Gurusamy is licensed to practice in Tennessee (license number 57780) 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 1629446208.

Contact Information

Dr Deepa Gurusamy, MD
1724 Hamill Rd Ste 214,
Hixson, TN 37343-5152
(423) 778-9030
(423) 778-9031

Map and Direction




Physician's Profile

Full NameDr Deepa Gurusamy
GenderFemale
SpecialityFamily Practice
Experience27 Years
Location1724 Hamill Rd Ste 214, Hixson, Tennessee
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:
  • Dr Deepa Gurusamy graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1629446208
  • Provider Enumeration Date: 09/13/2015
  • Last Update Date: 11/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668775933
  • Enrollment ID: I20191007003363

Medical Identifiers

Medical identifiers for Dr Deepa Gurusamy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629446208NPI-NPPES
57780OtherTNTENNESSEE BOARD OF MEDICAL EXAMINERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 57780 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner - University Medical Center Tucson CampusTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner -- University Medical Group7719899871819

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 Deepa Gurusamy allows following entities to bill medicare on her behalf.
Entity NameBanner -- University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694

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 Deepa Gurusamy 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
Dr Deepa Gurusamy, MD
1724 Hamill Rd Ste 214,
Hixson, TN 37343-5152

Ph: (423) 778-9030
Dr Deepa Gurusamy, MD
1724 Hamill Rd Ste 214,
Hixson, TN 37343-5152

Ph: (423) 778-9030

Reviews and Comments


Family Medicine Doctors in Hixson, TN

Dr. James J O'connell, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2051 Hamill Rd, Suite 301, Hixson, TN 37343
Phone: 423-877-1249    Fax: 423-870-2765
Dr. Owen F Speer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2051 Hamill Road Suite 301, Hixson, TN 37343
Phone: 423-877-1249    Fax: 423-870-2765
Charles Gober, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4980 Alpha Ln, Hixson, TN 37343
Phone: 423-870-2450    Fax: 423-877-5208
Dr. Brent Jeremy Campbell, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Executive Drive, Suite 100, Hixson, TN 37343
Phone: 423-778-9030    Fax: 423-778-9031
Dr. Terri R Brunvoll, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Executive Dr, Suite 100, Hixson, TN 37343
Phone: 423-870-2030    Fax: 423-875-6405
Mark Thomas Simpson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4513 Hixson Pike, Suite 102, Hixson, TN 37343
Phone: 423-877-7999    Fax: 423-877-7901
Dr. Ronald Wesley Jarl, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4980 Alpha Ln, Hixson, TN 37343
Phone: 423-870-2450    Fax: 423-877-5208

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.