Dr Hemant P Gundavda, MD - Medicare Pediatrics in Vero Beach, FL

Dr Hemant P Gundavda, MD is a medicare enrolled "Pediatrics" physician in Vero Beach, Florida. His current practice location is 1545 9th St Sw, Vero Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 257-8224.

Dr Hemant P Gundavda is licensed to practice in Florida (license number ME127710) 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 1053386284.

Contact Information

Dr Hemant P Gundavda, MD
1545 9th St Sw,
Vero Beach, FL 32962-4312
(772) 257-8224
(772) 213-3157

Map and Direction




Physician's Profile

Full NameDr Hemant P Gundavda
GenderMale
SpecialityPediatrics
Location1545 9th St Sw, Vero Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053386284
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 02/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9830199454
  • Enrollment ID: I20190816001525

Medical Identifiers

Medical identifiers for Dr Hemant P Gundavda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053386284NPI-NPPES
017178700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME127710 (Florida)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 Hemant P Gundavda allows following entities to bill medicare on his behalf.
Entity NamePublic Health Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881779866
PECOS PAC ID: 1850307406
Enrollment ID: O20060504000213

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 Hemant P Gundavda 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 Hemant P Gundavda, MD
1545 9th St Sw,
Vero Beach, FL 32962-4312

Ph: (772) 257-8224
Dr Hemant P Gundavda, MD
1545 9th St Sw,
Vero Beach, FL 32962-4312

Ph: (772) 257-8224

Reviews and Comments


Pediatrics Doctors in Vero Beach, FL

William David Caldwell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1545 9th St Sw, Vero Beach, FL 32962
Phone: 772-257-8224    Fax: 772-213-3157
Lacey Vatland, APRN
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960
Phone: 772-562-5662    
Mrs. Jessica Lauren Delia, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1155 35th Ln Ste 201a, Vero Beach, FL 32960
Phone: 772-562-5661    Fax: 772-562-5702
Johanna Marisol Dejesus, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 981 37th Pl, Vero Beach, FL 32960
Phone: 772-257-5785    Fax: 772-257-5325
Carmen E Rosado, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 981 37th Pl, Vero Beach, FL 32960
Phone: 772-257-5785    Fax: 772-257-5325
Lori Ann Bowers, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 981 37th Pl, Vero Beach, FL 32960
Phone: 772-257-5785    Fax: 772-257-5325

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.