Dr Eugene Suwandhi, MD - Medicare Pediatrics in La Plata, MD

Dr Eugene Suwandhi, MD is a medicare enrolled "Pediatrics" physician in La Plata, Maryland. His current practice location is 5 Garrett Ave, La Plata, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 609-4539.

Dr Eugene Suwandhi is licensed to practice in Maryland (license number D74404) 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 1184824856.

Contact Information

Dr Eugene Suwandhi, MD
5 Garrett Ave,
La Plata, MD 20646-5960
(301) 609-4539
Not Available

Map and Direction




Physician's Profile

Full NameDr Eugene Suwandhi
GenderMale
SpecialityPediatrics
Location5 Garrett Ave, La Plata, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184824856
  • Provider Enumeration Date: 07/20/2007
  • Last Update Date: 12/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2163731712
  • Enrollment ID: I20160119001062

Medical Identifiers

Medical identifiers for Dr Eugene Suwandhi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184824856NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME98752 (Florida)Secondary
208000000XPediatrics D74404 (Maryland)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. Dr Eugene Suwandhi allows following entities to bill medicare on his behalf.
Entity NameMdics At Calvert Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033404207
PECOS PAC ID: 6406017425
Enrollment ID: O20120418000151
Entity NameMdics At Civista Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225323496
PECOS PAC ID: 8325200793
Enrollment ID: O20120501000281

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. Dr Eugene Suwandhi 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
Dr Eugene Suwandhi, MD
5 Garrett Ave,
La Plata, MD 20646-5960

Ph: (301) 609-4539
Dr Eugene Suwandhi, MD
5 Garrett Ave,
La Plata, MD 20646-5960

Ph: (301) 609-4539

Reviews and Comments


Pediatrics Doctors in La Plata, MD

Lisa M Wiltrout, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5 Garrett Ave, Civista Medical Center, La Plata, MD 20646
Phone: 301-609-4000    
Daniel Tummillo, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5 Garrett Ave, La Plata, MD 20646
Phone: 301-609-4000    
Dr. James Joseph Vitek, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 701 East Charles Street, La Plata, MD 20646
Phone: 301-609-4000    Fax: 301-609-4311
Jennifer Blansett, CRNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 103 Centennial St Ste C, La Plata, MD 20646
Phone: 301-934-9111    Fax: 301-934-9111

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.