Koushik Prudvi Kasanagottu, MD in Eastvale, CA

Koushik Prudvi Kasanagottu, MD is a medicare enrolled "Internal Medicine" physician in Eastvale, California. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Beaver Medical Group P C and his current practice location is 5379 Hamner Ave Unit 801, Eastvale, California. You can reach out to his office (for appointments etc.) via phone at (888) 854-1397.

Koushik Prudvi Kasanagottu is licensed to practice in California (license number 186556) 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 1033601844.

Contact Information

	Koushik Prudvi Kasanagottu, MD
	5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042
	(888) 854-1397
	Not Available

Map and Direction

Physician's Profile

Full Name	Koushik Prudvi Kasanagottu
Gender	Male
Speciality	Internal Medicine
Experience	7 Years
Location	5379 Hamner Ave Unit 801, Eastvale, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Koushik Prudvi Kasanagottu graduated from medical school in 2018

NPI Data:

NPI Number: 1033601844
Provider Enumeration Date: 06/06/2018
Last Update Date: 11/26/2025

Medicare PECOS Information:

PECOS PAC ID: 6709135783
Enrollment ID: I20230804000886

Medical Identifiers

Medical identifiers for Koushik Prudvi Kasanagottu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033601844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	186556 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaver Medical Group P C	0547164295	219

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. Koushik Prudvi Kasanagottu allows following entities to bill medicare on his behalf.

Entity Name	Beaver Medical Group P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Koushik Prudvi Kasanagottu 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
Koushik Prudvi Kasanagottu, MD 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 Ph: (888) 854-1397	Koushik Prudvi Kasanagottu, MD 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 Ph: (888) 854-1397

Reviews and Comments

Internal Medicine Doctors in Eastvale, CA

Chau M T Nguyen-thio, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2717
Dr. Charles Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12523 Limonite Ave Ste 400, Eastvale, CA 91752 Phone: 951-398-6868 Fax: 951-221-8501
Dr. Manita Choudhary, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2717 Fax: 951-371-6586
Dr. Christian C Lanot, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12742 Limonite Ave, Eastvale, CA 92880 Phone: 951-739-2737 Fax: 951-371-6586

Koushik Prudvi Kasanagottu, MD - Medicare Internal Medicine in Eastvale, CA