Dr Deepa Nandyal, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Glen Allen, Virginia. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
4508 Yorkminster Dr, Glen Allen, Virginia. You can reach out to her office (for appointments etc.) via phone at
(586) 883-1559.
Dr Deepa Nandyal is licensed to practice in Virginia (license number 0101247385) 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 1235368184.
Physician's Profile
Full Name | Dr Deepa Nandyal |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 22 Years |
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Location | 4508 Yorkminster Dr, Glen Allen, Virginia |
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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. |
Medical Education and Training:
- Dr Deepa Nandyal graduated from medical school in 2002
NPI Data:
- NPI Number: 1235368184
- Provider Enumeration Date: 07/13/2009
- Last Update Date: 12/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527104736
- Enrollment ID: I20140320001491
Medical Identifiers
Medical identifiers for Dr Deepa Nandyal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235368184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301088586 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 0101247385 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern California Permanente Medical Group | 6002729175 | 7951 |
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 Nandyal allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Dr Deepa Nandyal 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 Deepa Nandyal, MD 4508 Yorkminster Dr, Glen Allen, VA 23060-6157 Ph: (586) 883-1559 | Dr Deepa Nandyal, MD 4508 Yorkminster Dr, Glen Allen, VA 23060-6157 Ph: (586) 883-1559 |
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