Sima Gopal Mistry, MD in Marysville, WA

Sima Gopal Mistry, MD is a medicare enrolled "Pediatrics" physician in Marysville, Washington. Her current practice location is 11603 State Ave Ste G, Providence Medical Group Marysville Clinic, Marysville, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 658-6800.

Sima Gopal Mistry is licensed to practice in Washington (license number 60403767) 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 1760625552.

Contact Information

	Sima Gopal Mistry, MD
	11603 State Ave Ste G, Providence Medical Group Marysville Clinic, Marysville, WA 98271-8465
	(360) 658-6800
	(360) 658-6819

Map and Direction

Physician's Profile

Full Name	Sima Gopal Mistry
Gender	Female
Speciality	Pediatrics
Location	11603 State Ave Ste G, Marysville, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760625552
Provider Enumeration Date: 04/09/2009
Last Update Date: 02/18/2015

Medicare PECOS Information:

PECOS PAC ID: 9436393816
Enrollment ID: I20130925000602

Medical Identifiers

Medical identifiers for Sima Gopal Mistry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760625552	NPI	-	NPPES
1926710	Medicaid	LA
MD60403767	Other	WA	WSL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60403767 (Washington)	Primary
207R00000X	Internal Medicine	60403767 (Washington)	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. Sima Gopal Mistry allows following entities to bill medicare on her behalf.

Entity Name	South Sound Inpatient Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668

Entity Name	Providence Health & Services- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111

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. Sima Gopal Mistry 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
Sima Gopal Mistry, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983	Sima Gopal Mistry, MD 11603 State Ave Ste G, Providence Medical Group Marysville Clinic, Marysville, WA 98271-8465 Ph: (360) 658-6800

Reviews and Comments

Pediatrics Doctors in Marysville, WA

Dr. Sarah Eva Bergman Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900
Sophia Shiau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482
Michael Su, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991
Denise Shushan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7482 Fax: 360-651-7482
Minkyung Shin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482
Cheryl Nirmali De Silva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750
Shirley Chen, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482

Sima Gopal Mistry, MD - Medicare Pediatrics in Marysville, WA