Dr Soumya Lakshmi Pandalai, MD is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Whitehall, Ohio. Her current practice location is
3768 E Main St, Whitehall, Ohio. You can reach out to her office (for appointments etc.) via phone at
(833) 510-4357.
Dr Soumya Lakshmi Pandalai is licensed to practice in Ohio (license number 35.120211) 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 1831310275.
Physician's Profile
| Full Name | Dr Soumya Lakshmi Pandalai |
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| Gender | Female |
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| Speciality | Internal Medicine - Addiction Medicine |
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| Location | 3768 E Main St, Whitehall, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831310275
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769532399
- Enrollment ID: I20090602000631
Medical Identifiers
Medical identifiers for Dr Soumya Lakshmi Pandalai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831310275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 35.120211 (Ohio) | Primary |
| 207R00000X | Internal Medicine | 207R00000X (Arizona) | Secondary |
| 208000000X | Pediatrics | 208000000X (Arizona) | Secondary |
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 Soumya Lakshmi Pandalai allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869 |
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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 Soumya Lakshmi Pandalai 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 |
|---|
Dr Soumya Lakshmi Pandalai, MD
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: (833) 510-4357 | Dr Soumya Lakshmi Pandalai, MD
3768 E Main St,
Whitehall, OH 43213-2925
Ph: (833) 510-4357 |
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