Dr Sudip K Bose, - Medicare Emergency Medicine in Dallas, TX

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Dr Sudip K Bose, is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Dallas, Texas. His current practice location is 9229 Lbj Fwy, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 739-3710.

Dr Sudip K Bose is licensed to practice in Texas (license number L5682) 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 1679537260.

Contact Information

Dr Sudip K Bose,
9229 Lbj Fwy,
Dallas, TX 75243-3405
(972) 739-3710
Not Available

Map and Direction




Physician's Profile

Full NameDr Sudip K Bose
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location9229 Lbj Fwy, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679537260
  • Provider Enumeration Date: 04/12/2006
  • Last Update Date: 03/31/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0446218325
  • Enrollment ID: I20041222000820

Medical Identifiers

Medical identifiers for Dr Sudip K Bose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679537260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services L5682 (Texas)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 Sudip K Bose allows following entities to bill medicare on his behalf.
Entity NameBasin Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831337724
PECOS PAC ID: 0244397826
Enrollment ID: O20090326000107
Entity NameRound Table Physicians Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023439114
PECOS PAC ID: 0547682460
Enrollment ID: O20200623002513

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 Sudip K Bose 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 Sudip K Bose,
9229 Lbj Fwy,
Dallas, TX 75243-3405

Ph: (972) 739-3710		Dr Sudip K Bose,
9229 Lbj Fwy,
Dallas, TX 75243-3405

Ph: (972) 739-3710

Reviews and Comments


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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.

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