Gauri Rahul Dalvi, MD, PHD - Medicare Pediatrics in Macclenny, FL

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Gauri Rahul Dalvi, MD, PHD is a medicare enrolled "Pediatrics" physician in Macclenny, Florida. Her current practice location is 159 N 3rd St, Macclenny, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 259-7815.

Gauri Rahul Dalvi is licensed to practice in Florida (license number ME129662) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164641783.

Contact Information

Gauri Rahul Dalvi, MD, PHD
159 N 3rd St,
Macclenny, FL 32063-2103
(904) 259-7815
(904) 259-4675

Map and Direction




Physician's Profile

Full NameGauri Rahul Dalvi
GenderFemale
SpecialityPediatrics
Location159 N 3rd St, Macclenny, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164641783
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 04/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8729508924
  • Enrollment ID: I20250218002837

Medical Identifiers

Medical identifiers for Gauri Rahul Dalvi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164641783NPI-NPPES
12673732OtherNCPHCS MULTIPLAN
1107248OtherNCCOVENTRY NATIONAL - COVENTRY PPO
2813371OtherNCUNITED HEALTHCARE
1164641783OtherNCHUMANA
200774OtherNCMEDCOST LLC
9910070OtherNCAETNA
1164641783OtherNCHEALTHNET FEDERAL SERVICES
1164641783MedicaidNC
FH1101590OtherNCFIRST CAROLINA CARE
1164641783OtherNCDOCTORS DIRECT
868004OtherNCCOVENTRY OF THE CAROLINAS
4048561OtherNCCIGNA GREATWEST
5907580MedicaidNC
5907850OtherNCNC HEALTH CHOICE
1479HOtherNCBLUECROSS BLUESHIELD
868004OtherNCWELLPATH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME129662 (Florida)Primary
208000000XPediatrics 2007-01100 (North Carolina)Secondary
208000000XPediatrics GETP.LSU.G02010.PD (Louisiana)Secondary

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. Gauri Rahul Dalvi allows following entities to bill medicare on her behalf.
Entity NameEmergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686675
PECOS PAC ID: 7911811435
Enrollment ID: O20040407000673

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. Gauri Rahul Dalvi 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
Gauri Rahul Dalvi, MD, PHD
159 N 3rd St,
Macclenny, FL 32063-2103

Ph: (904) 259-7815		Gauri Rahul Dalvi, MD, PHD
159 N 3rd St,
Macclenny, FL 32063-2103

Ph: (904) 259-7815

Reviews and Comments


Pediatrics Doctors in Macclenny, FL

Austin George Dupont, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 159 N 3rd St, Macclenny, FL 32063
Phone: 904-259-7815    Fax: 904-774-0001

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.