Carmine Suppa, in Charleston, SC - Medicare Pediatrics

Carmine Suppa, is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Carmine Suppa is licensed to practice in South Carolina (license number 83194) 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 1760800650.

Contact Information

	Carmine Suppa,
	171 Ashley Ave, Charleston, SC 29425-3816
	(843) 792-1414
	Not Available

Map and Direction

Physician's Profile

Full Name	Carmine Suppa
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	171 Ashley Ave, Charleston, 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: 1760800650
Provider Enumeration Date: 03/28/2014
Last Update Date: 10/23/2020

Medicare PECOS Information:

PECOS PAC ID: 2163761123
Enrollment ID: I20200511000019

Medical Identifiers

Medical identifiers for Carmine Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760800650	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	83194 (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. Carmine Suppa allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Carmine Suppa 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
Carmine Suppa, Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200	Carmine Suppa, 171 Ashley Ave, Charleston, SC 29425-3816 Ph: (843) 792-1414

Reviews and Comments

Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265

Carmine Suppa, - Medicare Pediatrics in Charleston, SC