Palliyathneethi Gangadharan, MD in Dublin, CA

Palliyathneethi Gangadharan, MD is a medicare enrolled "Family Medicine" physician in Dublin, California. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 4050 Dublin Blvd, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (925) 875-6179.

Palliyathneethi Gangadharan is licensed to practice in California (license number A112962) 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 1588812978.

Contact Information

	Palliyathneethi Gangadharan, MD
	4050 Dublin Blvd, Dublin, CA 94568-3112
	(925) 875-6179
	Not Available

Map and Direction

Physician's Profile

Full Name	Palliyathneethi Gangadharan
Gender	Female
Speciality	Family Practice
Experience	22 Years
Location	4050 Dublin Blvd, Dublin, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Palliyathneethi Gangadharan graduated from medical school in 2004

NPI Data:

NPI Number: 1588812978
Provider Enumeration Date: 08/28/2008
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6002095262
Enrollment ID: I20130608000167

Medical Identifiers

Medical identifiers for Palliyathneethi Gangadharan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588812978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A112962 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	3318

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. Palliyathneethi Gangadharan allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Palliyathneethi Gangadharan 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
Palliyathneethi Gangadharan, MD 4050 Dublin Blvd, Dublin, CA 94568-3112 Ph: (925) 875-6179	Palliyathneethi Gangadharan, MD 4050 Dublin Blvd, Dublin, CA 94568-3112 Ph: (925) 875-6179

Reviews and Comments

Family Medicine Doctors in Dublin, CA

William Davis, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7667 Amador Valley Blvd, Dublin, CA 94568 Phone: 925-828-9211 Fax: 925-828-0847
Carla Rita Antypas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100
Dr. Himabindu Chinnepalli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11501 Dublin Blvd Ste 200, Dublin, CA 94568 Phone: 510-284-5400
Mrs. Jessica Jane Kemprud, FN.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7667 Amador Valley Blvd, Dublin, CA 94568 Phone: 925-828-9211
Yanting Liao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100
Johnny Yep, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100
Dr. Maylene Han Phangureh, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4050 Dublin Blvd, Dublin, CA 94568 Phone: 925-875-6100

Palliyathneethi Gangadharan, MD - Medicare Family Practice in Dublin, CA