Prema Fancy D Souza, MD in Independence, MO

Prema Fancy D Souza, MD is a medicare enrolled "Pediatrics" physician in Independence, Missouri. Her current practice location is 20300 E Valley View Pkwy, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 478-5200.

Prema Fancy D Souza is licensed to practice in Missouri (license number 2018028464) 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 1225417397.

Contact Information

	Prema Fancy D Souza, MD
	20300 E Valley View Pkwy, Independence, MO 64057
	(816) 478-5200
	(816) 302-9939

Map and Direction

Physician's Profile

Full Name	Prema Fancy D Souza
Gender	Female
Speciality	Pediatrics
Location	20300 E Valley View Pkwy, Independence, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225417397
Provider Enumeration Date: 05/22/2015
Last Update Date: 08/21/2018

Medicare PECOS Information:

PECOS PAC ID: 1052759883
Enrollment ID: I20240329000949

Medical Identifiers

Medical identifiers for Prema Fancy D Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225417397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2018028464 (Missouri)	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. Prema Fancy D Souza allows following entities to bill medicare on her behalf.

Entity Name	The Childrens Mercy Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182

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. Prema Fancy D Souza 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
Prema Fancy D Souza, MD 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200	Prema Fancy D Souza, MD 20300 E Valley View Pkwy, Independence, MO 64057 Ph: (816) 478-5200

Reviews and Comments

Pediatrics Doctors in Independence, MO

Tamatha Marie Alexander, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr Ste 100, Independence, MO 64055 Phone: 816-373-1111 Fax: 816-373-9222
Dr. Ambarish Jamgade, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200
Sheela Ananth, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17500 Medical Center Pkwy, Suite 5, Independence, MO 64057 Phone: 816-373-1142 Fax: 816-373-9222
Amanda Montalbano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20300 E Valley View Pkwy, Children's Mercy Hospital, Independence, MO 64057 Phone: 816-478-5252
Jamie D Rubin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20300 E Valley View Pkwy, Independence, MO 64057 Phone: 816-478-5200
Dr. Louis Stiaszny, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 S Arrowhead Dr, Independence, MO 64055 Phone: 816-356-5000

Prema Fancy D Souza, MD - Medicare Pediatrics in Independence, MO