Dr Sanjiv Gupta, MD is a medicare enrolled "Internal Medicine" physician in Grayson, Kentucky. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Therapy And Health Centers Inc and his current practice location is
300 State Highway 1947, Grayson, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 474-2200.
Dr Sanjiv Gupta is licensed to practice in Kentucky (license number 32686) 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 1487761243.
Physician's Profile
| Full Name | Dr Sanjiv Gupta |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 36 Years |
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| Location | 300 State Highway 1947, Grayson, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Sanjiv Gupta graduated from medical school in 1988
NPI Data:
- NPI Number: 1487761243
- Provider Enumeration Date: 08/25/2006
- Last Update Date: 09/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 4688637614
- Enrollment ID: I20041110000373
Medical Identifiers
Medical identifiers for Dr Sanjiv Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487761243 | NPI | - | NPPES |
| 2016446 | Medicaid | OH | |
| 64326861 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 32686 (Kentucky) | Primary |
Medical Facilities Affiliation
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 Sanjiv Gupta allows following entities to bill medicare on his behalf.
| Entity Name | Sanjiv Gupta, M.d., P.s.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477562536
PECOS PAC ID: 7012970031
Enrollment ID: O20041110000275 |
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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 Sanjiv 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 Address | Practice Location Address |
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Dr Sanjiv Gupta, MD
Po Box 1620, 300 State Hwy 1947,
Grayson, KY 41143
Ph: (606) 474-2200 | Dr Sanjiv Gupta, MD
300 State Highway 1947,
Grayson, KY 41143
Ph: (606) 474-2200 |
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