Sudipta Misra, MD in Summerville, SC

Sudipta Misra, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Summerville, South Carolina. His current practice location is 295a Midland Pkwy Ste 260, Summerville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 695-2700.

Sudipta Misra is licensed to practice in South Carolina (license number 51197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932177052.

Contact Information

	Sudipta Misra, MD
	295a Midland Pkwy Ste 260, Summerville, SC 29485-9039
	(843) 695-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Sudipta Misra
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	295a Midland Pkwy Ste 260, Summerville, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932177052
Provider Enumeration Date: 03/14/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0143314807
Enrollment ID: I20171219000027

Medical Identifiers

Medical identifiers for Sudipta Misra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932177052	NPI	-	NPPES
IL01Y9	Other	IL	JOHN DEERE
036097890	Medicaid	IL
G59563	Medicaid	SC
07215036	Other	IL	BCBS
5921082	Medicaid	NC
171H6	Other	NC	BCBSNC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0206X	Pediatrics - Pediatric Gastroenterology	2012-00929 (North Carolina)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	036097590 (Illinois)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	51197 (South Carolina)	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. Sudipta Misra allows following entities to bill medicare on his behalf.

Entity Name	Coastal Carolina Multispecialty Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518079102 PECOS PAC ID: 9931105046 Enrollment ID: O20061012000646

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. Sudipta 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
Sudipta Misra, MD 295-a Midland Parkway, Summerville, SC 29485 Ph: () -	Sudipta Misra, MD 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 Ph: (843) 695-2700

Reviews and Comments

Pediatrics Doctors in Summerville, SC

Dr. Esther Spiegle Wilson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 202 Bentons Lodge Rd, Summerville, SC 29485 Phone: 843-871-2588
Dr. Emily Kathleen Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-873-4545 Fax: 843-873-1561
Mr. Benjamin L Rodgers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 748 Orangeburg Rd, Summerville, SC 29483 Phone: 843-832-8606 Fax: 843-285-7272
Mr. Mark Jeffrey Mccall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 Midland Pkwy, Summerville, SC 29485 Phone: 843-875-6262 Fax: 843-873-7958
Mr. John William Pence Sr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 Old Trolley Rd, Summerville, SC 29485 Phone: 843-875-0440 Fax: 843-875-0442
Seth Winkler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 312 Midland Pkwy, Summerville, SC 29485 Phone: 843-875-6262
Dr. Shanika Damien Rutledge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 2nd Ave Ste 101, Summerville, SC 29486 Phone: 843-573-2535 Fax: 843-573-2534

Sudipta Misra, MD - Medicare Pediatrics in Summerville, SC