Sprinter Medical West Pc - Medicare Primary Care in Menlo Park, CA

Sprinter Medical West Pc is a medicare enrolled primary clinic (Family Medicine) in Menlo Park, California. The current practice location for Sprinter Medical West Pc is 4600 Bohannon Dr Ste 100, Menlo Park, California. For appointments, you can reach them via phone at (209) 677-7468. The mailing address for Sprinter Medical West Pc is 2375 Montpelier Dr Ste 20, San Jose, California and phone number is (209) 677-7468.

Sprinter Medical West Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790368702. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 677-7468.

Contact Information

Sprinter Medical West Pc
4600 Bohannon Dr Ste 100
Menlo Park
CA 94025-1037
(209) 677-7468
Not Available

Primary Care Clinic Profile

Full NameSprinter Medical West Pc
SpecialityFamily Medicine
Location4600 Bohannon Dr Ste 100, Menlo Park, California
Authorized Official Name and PositionArun Villivalam (CEO)
Authorized Official Contact2096777468
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sprinter Medical West Pc
2375 Montpelier Dr Ste 20
San Jose
CA 95116-1627

Ph: (209) 677-7468
Sprinter Medical West Pc
4600 Bohannon Dr Ste 100
Menlo Park
CA 94025-1037

Ph: (209) 677-7468

NPI Details:

NPI Number1790368702
Provider Enumeration Date04/28/2021
Last Update Date04/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1951799527
Medicare Enrollment IDO20211101002241

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Medical Identifiers

Medical identifiers for Sprinter Medical West Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790368702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sprinter Medical West Pc acts as a billing entity for following providers:
Provider NameArun Villivalam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639355944
PECOS PAC ID: 3971558727
Enrollment ID: I20131017000361

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