Srimanasi Javvaji, MD is a medicare enrolled "Dermatology" physician in Yuma, Arizona. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Csi Medical Group, Thomas Dermatology, Sanford Health Of Northern Minnesota, Sanford Medical Center Fargo, Sanford Bismarck and her current practice location is
2500 S 8th Ave, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 788-0785.
Srimanasi Javvaji is licensed to practice in Texas (license number R3351) 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 1750630125.
Physician's Profile
| Full Name | Srimanasi Javvaji |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 14 Years |
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| Location | 2500 S 8th Ave, Yuma, Arizona |
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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:
- Srimanasi Javvaji graduated from medical school in 2012
NPI Data:
- NPI Number: 1750630125
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092001149
- Enrollment ID: I20160915001977
Medical Identifiers
Medical identifiers for Srimanasi Javvaji such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750630125 | NPI | - | NPPES |
| 1750630125 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 3116-320 (Wisconsin) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A141780 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 94587 (Georgia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 2023009444 (Missouri) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 68538 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | R3351 (Texas) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 74511 (Minnesota) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 35.147986 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 125.061605 (Illinois) | Secondary |
| 207N00000X | Dermatology | R3351 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Csi Medical Group | 5890916845 | 86 |
| Thomas Dermatology | 9830277136 | 33 |
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Bismarck | 9739098575 | 492 |
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. Srimanasi Javvaji allows following entities to bill medicare on her behalf.
| Entity Name | Csi Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930 |
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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. Srimanasi Javvaji 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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Srimanasi Javvaji, MD
2604b El Camino Real Ste 364,
Carlsbad, CA 92008-1214
Ph: () - | Srimanasi Javvaji, MD
2500 S 8th Ave,
Yuma, AZ 85364-7118
Ph: (928) 788-0785 |
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