Soumyadipta Hazra, MD in Fresno, CA - Medicare Psychiatry & Neurology

Soumyadipta Hazra, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fresno, California. Her current practice location is 4441 E Kings Canyon Rd, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 600-4099.

Soumyadipta Hazra is licensed to practice in California (license number A-118104) 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 1124291224.

Contact Information

	Soumyadipta Hazra, MD
	4441 E Kings Canyon Rd, Fresno, CA 93702-3604
	(559) 600-4099
	Not Available

Map and Direction

Physician's Profile

Full Name	Soumyadipta Hazra
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4441 E Kings Canyon Rd, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124291224
Provider Enumeration Date: 04/09/2008
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 1355487364
Enrollment ID: I20200424002250

Medical Identifiers

Medical identifiers for Soumyadipta Hazra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124291224	NPI	-	NPPES
124291224	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0802X	Psychiatry & Neurology - Addiction Psychiatry	247252 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A-118104 (California)	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. Soumyadipta Hazra allows following entities to bill medicare on her behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Soumyadipta Hazra 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
Soumyadipta Hazra, MD 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 Ph: (559) 600-4099	Soumyadipta Hazra, MD 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 Ph: (559) 600-4099

Reviews and Comments

Psychiatry & Neurology Doctors in Fresno, CA

Nighat Sarwar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7407 N Cedar Ave Ste 103, Fresno, CA 93720 Phone: 559-431-4007 Fax: 559-431-3357
Dr. Aria R Torii, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Veterans Administration Health Care, Fresno, CA 93703 Phone: 901-300-0001
Dr. Perminder Bhatia, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 736 E Bullard Ave, #101, Fresno, CA 93710 Phone: 559-437-9700 Fax: 559-437-9799
Ajibade Adeladan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4411 E Kings Canyon Rd, Fresno, CA 93702 Phone: 559-453-1008 Fax: 559-453-2805
Mr. Harjot Singh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 445 S Cedar Ave, Fresno, CA 93702 Phone: 559-459-3763 Fax: 559-459-5085
Charles Oestreicher, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1130 E Shaw Ave Ste 105, Fresno, CA 93710 Phone: 559-227-2739 Fax: 559-227-2698
Herbert Angel Cruz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2772 S. Martin Luther King Blvd., Fresno, CA 93706 Phone: 559-251-4800

Soumyadipta Hazra, MD - Medicare Psychiatry & Neurology in Fresno, CA