Sushma Sapkota Pandey, MD - Medicare Internal Medicine in Boonville, NY

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Sushma Sapkota Pandey, MD is a medicare enrolled "Internal Medicine" physician in Boonville, New York. Her current practice location is 13407 State Route 12, Boonville Family Care, Boonville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 942-3500.

Sushma Sapkota Pandey is licensed to practice in New York (license number 003385) 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 1124265749.

Contact Information

Sushma Sapkota Pandey, MD
13407 State Route 12, Boonville Family Care,
Boonville, NY 13309
(315) 942-3500
(315) 942-3618

Map and Direction




Physician's Profile

Full NameSushma Sapkota Pandey
GenderFemale
SpecialityInternal Medicine
Location13407 State Route 12, Boonville, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124265749
  • Provider Enumeration Date: 01/20/2009
  • Last Update Date: 10/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4587703699
  • Enrollment ID: I20091203000185

Medical Identifiers

Medical identifiers for Sushma Sapkota Pandey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124265749NPI-NPPES
03161786MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 003385 (New York)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. Sushma Sapkota Pandey allows following entities to bill medicare on her behalf.
Entity NameNorthway Medical Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952493686
PECOS PAC ID: 3577547017
Enrollment ID: O20100820000004

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. Sushma Sapkota Pandey 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 AddressPractice Location Address
Sushma Sapkota Pandey, MD
1500 North James Street,
Rome, NY 13440

Ph: (315) 338-7000		Sushma Sapkota Pandey, MD
13407 State Route 12, Boonville Family Care,
Boonville, NY 13309

Ph: (315) 942-3500

Reviews and Comments


Internal Medicine Doctors in Boonville, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.