Dr Jaydeep Raval, DO is a medicare enrolled "Hospitalist" physician in Twentynine Palms, California. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2016 and has 10 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Vituity - Arizona Hospitalists Pc and his current practice location is
1145 Sturgis Rd, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at
(760) 830-2483.
Dr Jaydeep Raval is licensed to practice in Arizona (license number 010017) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104277953.
Physician's Profile
| Full Name | Dr Jaydeep Raval |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 10 Years |
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| Location | 1145 Sturgis Rd, Twentynine Palms, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jaydeep Raval attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2016
NPI Data:
- NPI Number: 1104277953
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678835949
- Enrollment ID: I20230408000134
Medical Identifiers
Medical identifiers for Dr Jaydeep Raval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104277953 | NPI | - | NPPES |
| VAD0000 | Other | | MILITARY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 010017 (Arizona) | Primary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
| 171000000X | Military Health Care Provider | 15867 (California) | Secondary |
| 207R00000X | Internal Medicine | 15867 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vituity - Arizona Hospitalists Pc | 5395163745 | 62 |
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 Jaydeep Raval allows following entities to bill medicare on his behalf.
| Entity Name | Vituity - Arizona Hospitalists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770109704
PECOS PAC ID: 5395163745
Enrollment ID: O20200916002069 |
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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 Jaydeep Raval 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 Jaydeep Raval, DO
1145 Sturgis Road,
Twentynine Palms, CA 92277
Ph: (760) 830-2197 | Dr Jaydeep Raval, DO
1145 Sturgis Rd,
Twentynine Palms, CA 92277
Ph: (760) 830-2483 |
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