Prabhakar Tummala, MD - Medicare Emergency Medicine in Boron, CA

Prabhakar Tummala, MD is a medicare enrolled "Emergency Medicine" physician in Boron, California. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southland Emergency Medical Associates Inc and his current practice location is 12500 Boron Ave, Boron, California. You can reach out to his office (for appointments etc.) via phone at (760) 762-5111.

Prabhakar Tummala is licensed to practice in California (license number A89858) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780639344.

Contact Information

Prabhakar Tummala, MD
12500 Boron Ave,
Boron, CA 93516-1647
(760) 762-5111
Not Available



Physician's Profile

Full NamePrabhakar Tummala
GenderMale
SpecialityEmergency Medicine
Experience31 Years
Location12500 Boron Ave, Boron, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prabhakar Tummala graduated from medical school in 1993
  NPI Data:
  • NPI Number: 1780639344
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 07/30/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355372848
  • Enrollment ID: I20050824000754

Medical Identifiers

Medical identifiers for Prabhakar Tummala such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780639344NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A89858 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Desert Valley HospitalVictorville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southland Emergency Medical Associates Inc983046679623

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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. Prabhakar Tummala allows following entities to bill medicare on his behalf.
Entity NameDesert Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803

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Entity NameSouthland Emergency Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932640935
PECOS PAC ID: 9830466796
Enrollment ID: O20220929003208

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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. Prabhakar Tummala 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
Prabhakar Tummala, MD
13009 Quail Ct,
Rancho Cucamonga, CA 91739-8854

Ph: () -
Prabhakar Tummala, MD
12500 Boron Ave,
Boron, CA 93516-1647

Ph: (760) 762-5111

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Emergency Medicine Doctors in Boron, CA


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