Subhasree Misra, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Lynwood, Illinois. She went to Albany Medical College Of Union University and graduated in 1998 and has 27 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Midwest Neurology Associates Pc, Midwest Neurology Associates Pc and her current practice location is
19404 N Creek Drive, Lynwood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 872-4711.
Subhasree Misra is licensed to practice in Illinois (license number 036106596) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326092362.
Physician's Profile
| Full Name | Subhasree Misra |
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| Gender | Female |
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| Speciality | Neurology |
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| Experience | 27 Years |
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| Location | 19404 N Creek Drive, Lynwood, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Subhasree Misra attended and graduated from Albany Medical College Of Union University in 1998
NPI Data:
- NPI Number: 1326092362
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 10/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365403854
- Enrollment ID: I20041019000611
Medical Identifiers
Medical identifiers for Subhasree Misra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326092362 | NPI | - | NPPES |
| 01615936 | Other | IL | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 036106596 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Midwest Neurology Associates Pc | 3779710660 | 7 |
| Midwest Neurology Associates Pc | 3779710660 | 7 |
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. Subhasree Misra allows following entities to bill medicare on her behalf.
| Entity Name | Primary Healthcare Associates Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467442293
PECOS PAC ID: 4688635337
Enrollment ID: O20041026000077 |
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| Entity Name | Midwest Neurology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124453279
PECOS PAC ID: 3779710660
Enrollment ID: O20180625001428 |
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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. Subhasree Misra 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 |
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Subhasree Misra, MD
Po Box 423,
Dyer, IN 46311-0423
Ph: (708) 872-4711 | Subhasree Misra, MD
19404 N Creek Drive,
Lynwood, IL 60411
Ph: (708) 872-4711 |
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