Dr Pallavi Archana Kumbla, MD - Medicare Plastic Surgery in Cumming, GA

Dr Pallavi Archana Kumbla, MD is a medicare enrolled "Plastic Surgery" physician in Cumming, Georgia. Her current practice location is 4150 Deputy Bill Cantrell Memorial Road, Suite 240, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 931-8874.

Dr Pallavi Archana Kumbla is licensed to practice in Georgia (license number 90934) 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 1134462534.

Contact Information

Dr Pallavi Archana Kumbla, MD
4150 Deputy Bill Cantrell Memorial Road, Suite 240,
Cumming, GA 30040-3004
(678) 931-8874
Not Available



Physician's Profile

Full NameDr Pallavi Archana Kumbla
GenderFemale
SpecialityPlastic Surgery
Location4150 Deputy Bill Cantrell Memorial Road, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134462534
  • Provider Enumeration Date: 04/03/2013
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830417401
  • Enrollment ID: I20240117001786

Medical Identifiers

Medical identifiers for Dr Pallavi Archana Kumbla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134462534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 90934 (Georgia)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. Dr Pallavi Archana Kumbla allows following entities to bill medicare on her behalf.
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598

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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. Dr Pallavi Archana Kumbla 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 AddressPractice Location Address
Dr Pallavi Archana Kumbla, MD
4150 Deputy Bill Cantrell Memorial Road, Suite 240,
Cumming, GA 30040

Ph: (678) 931-8874
Dr Pallavi Archana Kumbla, MD
4150 Deputy Bill Cantrell Memorial Road, Suite 240,
Cumming, GA 30040-3004

Ph: (678) 931-8874

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Plastic Surgery Doctors in Cumming, GA

Dr. Christopher David Killingsworth, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4150 Dep Bill Cantrell Memorial Rd Ste 240, Cumming, GA 30040
Phone: 678-208-6008    Fax: 678-208-6375

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