Suparna Dutta, MD in Oakland, CA - Medicare Physical Medicine & Rehabilitation

Suparna Dutta, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Oakland, California. Her current practice location is 275 W Macarthur Blvd, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 752-1000.

Suparna Dutta is licensed to practice in California (license number A75951) 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 1275611048.

Contact Information

	Suparna Dutta, MD
	275 W Macarthur Blvd, Oakland, CA 94611-5641
	(510) 752-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Suparna Dutta
Gender	Female
Speciality	Physical Medicine & Rehabilitation
Location	275 W Macarthur Blvd, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275611048
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 7214111319
Enrollment ID: I20110414000499

Medical Identifiers

Medical identifiers for Suparna Dutta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275611048	NPI	-	NPPES
00A759510	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	A75951 (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. Suparna Dutta 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

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. Suparna Dutta 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
Suparna Dutta, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000	Suparna Dutta, MD 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Oakland, CA

Dr. Allison Gannon Pollock, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 350 Hawthorne Ave, Oakland, CA 94609 Phone: 510-847-7771
Andrea Lee Wilcox, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Margaret Cosgrove, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3600 Broadway, Oakland, CA 94611 Phone: 510-752-1000
Alexandria Woodbury, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3645 Grand Ave Ste 203, Oakland, CA 94610 Phone: 510-883-3534
Sheanhuey Ng, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Yumi Mitsuya, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3000
Margaret Lucy Stokely, OTR/L Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 44 Danbury St, Oakland, CA 94605 Phone: 423-243-4743

Suparna Dutta, MD - Medicare Physical Medicine & Rehabilitation in Oakland, CA