Amitabh Mohan Mathur, MD is a medicare enrolled "Anesthesiology" physician in Hollister, California. His current practice location is
911 Sunset Dr, Hollister, California. You can reach out to his office (for appointments etc.) via phone at
(831) 637-5711.
Amitabh Mohan Mathur is licensed to practice in California (license number A067559) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932173986.
Physician's Profile
| Full Name | Amitabh Mohan Mathur |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 911 Sunset Dr, Hollister, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932173986
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072580638
- Enrollment ID: I20040913001296
Medical Identifiers
Medical identifiers for Amitabh Mohan Mathur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932173986 | NPI | - | NPPES |
| 00A675590 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | A067559 (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. Amitabh Mohan Mathur allows following entities to bill medicare on his behalf.
| Entity Name | Stanford Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
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| Entity Name | Comfort Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043466550 PECOS PAC ID: 6002975489 Enrollment ID: O20081030000718 |
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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. Amitabh Mohan Mathur 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 |
Amitabh Mohan Mathur, MD 300 Pasteur Dr, Palo Alto, CA 94305-2200 Ph: (650) 723-4000 | Amitabh Mohan Mathur, MD 911 Sunset Dr, Hollister, CA 95023-5606 Ph: (831) 637-5711 |
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