Channaiah Srikanth Mysore, in Salisbury, MD

Channaiah Srikanth Mysore, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Salisbury, Maryland. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Vidant Medical Group Llc, Carolina Physical Therapy Associates Llc and his current practice location is 100 E Carroll St, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (800) 749-5191.

Channaiah Srikanth Mysore is licensed to practice in Maryland (license number D77961) 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 1881900652.

Contact Information

	Channaiah Srikanth Mysore,
	100 E Carroll St, Salisbury, MD 21801
	(800) 749-5191
	Not Available

Map and Direction

Physician's Profile

Full Name	Channaiah Srikanth Mysore
Gender	Male
Speciality	Neurology
Experience	24 Years
Location	100 E Carroll St, Salisbury, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Channaiah Srikanth Mysore graduated from medical school in 2000

NPI Data:

NPI Number: 1881900652
Provider Enumeration Date: 08/31/2010
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 6709191752
Enrollment ID: I20200827001186

Medical Identifiers

Medical identifiers for Channaiah Srikanth Mysore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881900652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	D77961 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vidant Medical Center	Greenville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vidant Medical Group Llc	0345343893	850
Carolina Physical Therapy Associates Llc	7012989684	187

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. Channaiah Srikanth Mysore allows following entities to bill medicare on his behalf.

Entity Name	Vidant Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445

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. Channaiah Srikanth Mysore 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
Channaiah Srikanth Mysore, 100 E Carroll St, Salisbury, MD 21801-5493 Ph: (800) 749-5191	Channaiah Srikanth Mysore, 100 E Carroll St, Salisbury, MD 21801 Ph: (800) 749-5191

Reviews and Comments

Psychiatry & Neurology Doctors in Salisbury, MD

Dr. Vincent Charles Siracusano, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 102 W Market St, Peninsula Mental Health Services, Salisbury, MD 21801 Phone: 410-860-2673 Fax: 410-860-0450
Dr. Khalid Ahmed, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960
Ovais Khalid, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 E Carroll St, Salisbury, MD 21801 Phone: 800-749-5191
Dr. Mark David Walsh, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 106 Milford St, Suite 306, Salisbury, MD 21804 Phone: 410-677-6500 Fax: 410-677-6502
Dr. Kyle Jarrett Ward, DO, MS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1104 Healthway Dr, Salisbury, MD 21804 Phone: 410-219-5483 Fax: 410-219-5486
Talmadge Curle Reeves, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 233 West Main Street, Salisbury, MD 21801 Phone: 410-749-0124 Fax: 410-546-4872
Dr. Peter Raymond Sebastian, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 32071 Beaver Run Dr, Ste B, Salisbury, MD 21804 Phone: 410-341-6520 Fax: 410-341-6526

Channaiah Srikanth Mysore, - Medicare Neurology in Salisbury, MD