Ashwin Attiguppam Mallikarjun, MD in Conway, SC

Ashwin Attiguppam Mallikarjun, MD is a medicare enrolled "Pediatrics" physician in Conway, South Carolina. His current practice location is 1608 Main St, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 248-4700.

Ashwin Attiguppam Mallikarjun is licensed to practice in South Carolina (license number 20201) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184720690.

Contact Information

	Ashwin Attiguppam Mallikarjun, MD
	1608 Main St, Conway, SC 29526-3572
	(843) 248-4700
	(843) 248-3145

Map and Direction

Physician's Profile

Full Name	Ashwin Attiguppam Mallikarjun
Gender	Male
Speciality	Pediatrics
Location	1608 Main St, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184720690
Provider Enumeration Date: 09/15/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1254512890
Enrollment ID: I20110302000154

Medical Identifiers

Medical identifiers for Ashwin Attiguppam Mallikarjun such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184720690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	20201 (South Carolina)	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. Ashwin Attiguppam Mallikarjun allows following entities to bill medicare on his behalf.

Entity Name	Tandem Health Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514

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. Ashwin Attiguppam Mallikarjun 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
Ashwin Attiguppam Mallikarjun, MD 1608 Main St, Conway, SC 29526-3572 Ph: (843) 248-4700	Ashwin Attiguppam Mallikarjun, MD 1608 Main St, Conway, SC 29526-3572 Ph: (843) 248-4700

Reviews and Comments

Pediatrics Doctors in Conway, SC

Danika Lauren Alexander Borden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd Ofc, Conway, SC 29526 Phone: 843-347-7111
Mrs. Isabella Andrea Vallenilla Gallardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111
Dr. Stephen Alexander Corontzes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-9099 Fax: 843-347-9029
Dr. Lina Abdelmajid Hajar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 243 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-248-4700
Eugenia Gainzeo Cooper-merchant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005
Krystin Monet Jack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-234-5139

Ashwin Attiguppam Mallikarjun, MD - Medicare Pediatrics in Conway, SC