Supriya Bavisetty, MD in Mission Hills, CA

Supriya Bavisetty, MD is a medicare enrolled "Pediatrics" physician in Mission Hills, California. Her current practice location is 11333 Sepulveda Blvd, Mission Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 365-9531.

Supriya Bavisetty is licensed to practice in California (license number A122963) 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 1134410103.

Contact Information

	Supriya Bavisetty, MD
	11333 Sepulveda Blvd, Mission Hills, CA 91345-1116
	(818) 365-9531
	(818) 898-1682

Map and Direction

Physician's Profile

Full Name	Supriya Bavisetty
Gender	Female
Speciality	Pediatrics
Location	11333 Sepulveda Blvd, Mission Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134410103
Provider Enumeration Date: 04/26/2011
Last Update Date: 09/29/2015

Medicare PECOS Information:

PECOS PAC ID: 8022332782
Enrollment ID: I20150128002194

Medical Identifiers

Medical identifiers for Supriya Bavisetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134410103	NPI	-	NPPES
001229630	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A122963 (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. Supriya Bavisetty allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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. Supriya Bavisetty 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
Supriya Bavisetty, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559	Supriya Bavisetty, MD 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 Ph: (818) 365-9531

Reviews and Comments

Pediatrics Doctors in Mission Hills, CA

Dr. Henie Fialkoff, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200
Stephen J Elliott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15031 Rinaldi St, Mission Hills, CA 91345 Phone: 805-215-5259
Catherine S. Cho, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-869-7200 Fax: 818-898-1808
Dr. Zonia A Leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14901 Rinaldi St, #330, Mission Hills, CA 91345 Phone: 818-365-7778 Fax: 818-365-7808
Maya Levy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11333 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-365-9531 Fax: 818-837-5783
Gloria Hierro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11165 Sepulveda Blvd, Mission Hills, CA 91345 Phone: 818-837-2753 Fax: 818-898-9282

Supriya Bavisetty, MD - Medicare Pediatrics in Mission Hills, CA