Mamata Eagam, DO in Warsaw, IN - Medicare Pediatrics

Mamata Eagam, DO is a medicare enrolled "Pediatrics" physician in Warsaw, Indiana. Her current practice location is 902 Provident Drive, Suite A, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 269-8338.

Mamata Eagam is licensed to practice in Florida (license number OS14468) 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 1174797179.

Contact Information

	Mamata Eagam, DO
	902 Provident Drive, Suite A, Warsaw, IN 46580-3379
	(574) 269-8338
	(574) 269-8339

Map and Direction

Physician's Profile

Full Name	Mamata Eagam
Gender	Female
Speciality	Pediatrics
Location	902 Provident Drive, Warsaw, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174797179
Provider Enumeration Date: 04/22/2008
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7214195627
Enrollment ID: I20120214000754

Medical Identifiers

Medical identifiers for Mamata Eagam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174797179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	02004718A (Indiana)	Secondary
208000000X	Pediatrics	OS14468 (Florida)	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. Mamata Eagam allows following entities to bill medicare on her behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

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. Mamata Eagam 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
Mamata Eagam, DO 6920 Pointe Inverness Way, Suite 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3513	Mamata Eagam, DO 902 Provident Drive, Suite A, Warsaw, IN 46580-3379 Ph: (574) 269-8338

Reviews and Comments

Pediatrics Doctors in Warsaw, IN

Dr. Todd Allen Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 902 Provident Dr, Suite A, Warsaw, IN 46580 Phone: 574-269-8338 Fax: 574-269-8339
Dr. Jeffrey Douglas O'dell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Dr. Anita I Kishan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-3420 Fax: 574-269-2234
Dr. Miry Lisbeth Makebish, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Dr. Charles Lee Hill Iii, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1355 Mariners Dr, Warsaw, IN 46582 Phone: 574-267-6778 Fax: 574-267-3134
Dr. Alexandru Bogdan Tanase, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 902 Provident Dr Ste A, Warsaw, IN 46580 Phone: 574-269-8338 Fax: 574-269-8339

Mamata Eagam, DO - Medicare Pediatrics in Warsaw, IN