Gavelyn Poonnopatam, DO - Medicare Family Medicine in Sierra Vista, AZ

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Gavelyn Poonnopatam, DO is a medicare enrolled "Family Medicine" physician in Sierra Vista, Arizona. Her current practice location is 155 Calle Portal, Sierra Vista, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 364-1429.

Gavelyn Poonnopatam is licensed to practice in Arizona (license number 010273) 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 1962021378.

Contact Information

Gavelyn Poonnopatam, DO
155 Calle Portal,
Sierra Vista, AZ 85635-2900
(520) 364-1429
Not Available

Map and Direction




Physician's Profile

Full NameGavelyn Poonnopatam
GenderFemale
SpecialityFamily Medicine
Location155 Calle Portal, Sierra Vista, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962021378
  • Provider Enumeration Date: 04/15/2020
  • Last Update Date: 08/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547614984
  • Enrollment ID: I20231003003602

Medical Identifiers

Medical identifiers for Gavelyn Poonnopatam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962021378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 010273 (Arizona)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. Gavelyn Poonnopatam allows following entities to bill medicare on her behalf.
Entity NameChiricahua Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942241443
PECOS PAC ID: 5395638878
Enrollment ID: O20040206000860

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. Gavelyn Poonnopatam 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
Gavelyn Poonnopatam, DO
155 Calle Portal,
Sierra Vista, AZ 85635-2900

Ph: (520) 364-1429		Gavelyn Poonnopatam, DO
155 Calle Portal,
Sierra Vista, AZ 85635-2900

Ph: (520) 364-1429

Reviews and Comments


Family Medicine Doctors in Sierra Vista, AZ

Ralph Esker Mayberry, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Wilcox Dr, Sierra Vista, AZ 85635
Phone: 520-459-3116    Fax: 520-459-7397
Dr. Jeffrey Virgil Wilde, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 302 El Camino Real Bldg 11, Sierra Vista, AZ 85635
Phone: 520-255-5475    Fax: 855-801-7998
Dr. Franklin Terry Perkins Iii, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3533 Canyon De Flores Ste A, Sierra Vista, AZ 85650
Phone: 520-685-3336    
Dr. Parag Rasik Patel, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 S Coronado Dr, Suite B, Sierra Vista, AZ 85635
Phone: 520-439-0115    Fax: 520-458-3016
Louise Nosanchuck, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 77 E Fry Blvd, Sierra Vista, AZ 85635
Phone: 520-459-8915    Fax: 520-458-9424
Mark Christian Carnett, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Calle Portal, Suite 600, Sierra Vista, AZ 85635
Phone: 520-439-5186    Fax: 520-439-4466
Dr. Natalie Rose Krumdieck, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Calle Portal Ste 300, Sierra Vista, AZ 85635
Phone: 520-459-3011    Fax: 520-364-4261

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.