Dr Praveen Gupta, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Culver City, California. She graduated from medical school in 1969 and has 56 years of diverse experience with area of expertise as Obstetrics/gynecology. Her current practice location is
9435 Venice Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at
(310) 559-0575.
Dr Praveen Gupta is licensed to practice in California (license number A25680) 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 1649386707.
Physician's Profile
| Full Name | Dr Praveen Gupta |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 56 Years |
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| Location | 9435 Venice Blvd, Culver City, California |
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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. |
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Medical Education and Training:
- Dr Praveen Gupta graduated from medical school in 1969
NPI Data:
- NPI Number: 1649386707
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 11/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 6406022888
- Enrollment ID: I20120106000150
Medical Identifiers
Medical identifiers for Dr Praveen Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649386707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | A25680 (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. Dr Praveen Gupta allows following entities to bill medicare on her behalf.
| Entity Name | Dr Praveen Gupta A Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891295408
PECOS PAC ID: 0648531806
Enrollment ID: O20180302001831 |
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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 Praveen Gupta 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 Praveen Gupta, MD
9435 Venice Blvd,
Culver City, CA 90232-2623
Ph: (310) 559-0575 | Dr Praveen Gupta, MD
9435 Venice Blvd,
Culver City, CA 90232-2623
Ph: (310) 559-0575 |
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