Dr Neelam Thapa, MD - Medicare Pediatrics in Pawtucket, RI

Dr Neelam Thapa, MD is a medicare enrolled "Pediatrics" physician in Pawtucket, Rhode Island. Her current practice location is 42 Park Pl, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-0080.

Dr Neelam Thapa is licensed to practice in Rhode Island (license number MD13741) 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 1922388131.

Contact Information

Dr Neelam Thapa, MD
42 Park Pl,
Pawtucket, RI 02860-4010
(401) 729-0080
Not Available

Map and Direction




Physician's Profile

Full NameDr Neelam Thapa
GenderFemale
SpecialityPediatrics
Location42 Park Pl, 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: 1922388131
  • Provider Enumeration Date: 08/18/2011
  • Last Update Date: 08/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123294006
  • Enrollment ID: I20230427000098

Medical Identifiers

Medical identifiers for Dr Neelam Thapa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922388131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD13741 (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. Dr Neelam Thapa allows following entities to bill medicare on her behalf.
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415

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 Neelam Thapa 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 Neelam Thapa, MD
1950 Village Grn S, Apt # D,
Riverside, RI 02915-4030

Ph: (718) 683-1844
Dr Neelam Thapa, MD
42 Park Pl,
Pawtucket, RI 02860-4010

Ph: (401) 729-0080

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
Stephanie G Lawrence, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 21 Division St, Pawtucket, RI 02860
Phone: 401-727-4800    
Carol L Baum-gupta,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 555 Prospect Street, Pawtucket, RI 02860
Phone: 401-729-6200    Fax: 401-729-6203

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.