Dr Jishu Kaul Motta, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Springfield, Massachusetts. He went to University Of Massachusetts Medical School and graduated in 2024 and has 1 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pioneer Valley Cardiology Associates, Inc and his current practice location is
Baystate Medical Center, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 794-0000.
Dr Jishu Kaul Motta is licensed to practice in * (Not Available) (license number ) 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 1689115867.
Physician's Profile
| Full Name | Dr Jishu Kaul Motta |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 1 Years |
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| Location | Baystate Medical Center, Springfield, Massachusetts |
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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 Jishu Kaul Motta attended and graduated from University Of Massachusetts Medical School in 2024
NPI Data:
- NPI Number: 1689115867
- Provider Enumeration Date: 03/20/2017
- Last Update Date: 06/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911283767
- Enrollment ID: I20241205000612
Medical Identifiers
Medical identifiers for Dr Jishu Kaul Motta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689115867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 65607 (Connecticut) | Secondary |
| 207R00000X | Internal Medicine | 65606 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pioneer Valley Cardiology Associates, Inc | 7618128794 | 24 |
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 Jishu Kaul Motta allows following entities to bill medicare on his behalf.
| Entity Name | Pioneer Valley Cardiology Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346511243
PECOS PAC ID: 7618128794
Enrollment ID: O20121120000071 |
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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 Jishu Kaul Motta 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 |
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Dr Jishu Kaul Motta,
Baystate Medical Center,
Springfield, MA 01199-0001
Ph: (413) 794-0000 | Dr Jishu Kaul Motta,
Baystate Medical Center,
Springfield, MA 01199-0001
Ph: (413) 794-0000 |
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