Gawtham Gutta, MD in Ridgecrest, CA - Medicare Internal Medicine

Gawtham Gutta, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Ridgecrest, California. His current practice location is 1081 N China Lake Blvd, Ridgecrest, California. You can reach out to his office (for appointments etc.) via phone at (760) 446-3551.

Gawtham Gutta is licensed to practice in California (license number C179725) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245262617.

Contact Information

	Gawtham Gutta, MD
	1081 N China Lake Blvd, Ridgecrest, CA 93555-3130
	(760) 446-3551
	Not Available

Map and Direction

Physician's Profile

Full Name	Gawtham Gutta
Gender	Male
Speciality	Internal Medicine - Addiction Medicine
Location	1081 N China Lake Blvd, Ridgecrest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245262617
Provider Enumeration Date: 07/07/2006
Last Update Date: 08/12/2022

Medicare PECOS Information:

PECOS PAC ID: 5395706329
Enrollment ID: I20210323000508

Medical Identifiers

Medical identifiers for Gawtham Gutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245262617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0401X	Internal Medicine - Addiction Medicine	036111915 (Illinois)	Secondary
207RA0401X	Internal Medicine - Addiction Medicine	C179725 (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. Gawtham Gutta allows following entities to bill medicare on his behalf.

Entity Name	The Queens Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366

Entity Name	Daiya Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200827001026

Entity Name	Mi-health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154064855 PECOS PAC ID: 0143605030 Enrollment ID: O20220913002100

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. Gawtham Gutta 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
Gawtham Gutta, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 446-3551	Gawtham Gutta, MD 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 Ph: (760) 446-3551

Reviews and Comments

Internal Medicine Doctors in Ridgecrest, CA

Dr. Kevin Sean Flanigan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870
Andrew Modic, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870
Victoria Schauf, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 409 Drummond Ave, Ridgecrest, CA 93555 Phone: 760-371-2128 Fax: 760-371-1043
Dr. Vernon Harvey Shull, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Chamonix Rd, Ridgecrest, CA 93555 Phone: 760-446-5128
Everard Hudson Hughes Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-499-3360 Fax: 760-499-3361
Mrs. Samantha Ann Mongar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 N China Lake Blvd, Suite 190, Ridgecrest, CA 93555 Phone: 760-499-3855 Fax: 760-499-3870

Gawtham Gutta, MD - Medicare Internal Medicine in Ridgecrest, CA