Carol L Baum-gupta, - Medicare Pediatrics in Pawtucket, RI

Carol L Baum-gupta, is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Pawtucket, Rhode Island. Her current practice location is 555 Prospect Street, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-6200.

Carol L Baum-gupta is licensed to practice in Rhode Island (license number MD12633) 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 1598922809.

Contact Information

Carol L Baum-gupta,
555 Prospect Street,
Pawtucket, RI 02860
(401) 729-6200
(401) 729-6203

Map and Direction




Physician's Profile

Full NameCarol L Baum-gupta
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location555 Prospect Street, Pawtucket, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598922809
  • Provider Enumeration Date: 05/22/2008
  • Last Update Date: 09/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4284804584
  • Enrollment ID: I20240411000506

Medical Identifiers

Medical identifiers for Carol L Baum-gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598922809NPI-NPPES
CB85575MedicaidRI
002284501OtherRIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics MD12633 (Rhode Island)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. Carol L Baum-gupta allows following entities to bill medicare on her behalf.
Entity NamePratt Pediatric Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590511
PECOS PAC ID: 3779475371
Enrollment ID: O20040329000127

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. Carol L Baum-gupta 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
Carol L Baum-gupta,
111 Brewster Street, Wood Bldg #516,
Pawtucket, RI 02860

Ph: () -
Carol L Baum-gupta,
555 Prospect Street,
Pawtucket, RI 02860

Ph: (401) 729-6200

Reviews and Comments


Pediatrics Doctors in Pawtucket, RI

Natalia Lukankina, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-6200    
Tanya Jean Becker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 126 Prospect St, Pawtucket, RI 02860
Phone: 401-728-9206    Fax: 401-722-6960
Viren Andrew D'sa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Prospect St, Pawtucket, RI 02860
Phone: 401-729-6200    Fax: 401-729-6203
Esther J. Entin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Department Of Pediatrics, Pawtucket, RI 02860
Phone: 401-729-6200    Fax: 401-729-6203
Kunjbala Sharma, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1145 Main St, Pawtucket, RI 02860
Phone: 401-722-0081    Fax: 401-312-0318
Cameron Elizabeth Walker Lang, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 39 East Ave, Pawtucket, RI 02860
Phone: 401-722-0081    Fax: 401-312-0318

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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