Smitha Mary Thotam, NP in Bay Shore, NY - Medicare Nurse Practitioner

Smitha Mary Thotam, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bay Shore, New York. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice New York University and her current practice location is 280 E Main St, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 666-3939.

Smitha Mary Thotam is licensed to practice in New York (license number F305772) 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 1629262639.

Contact Information

	Smitha Mary Thotam, NP
	280 E Main St, Bay Shore, NY 11706-8403
	(631) 666-3939
	(631) 666-1860

Map and Direction

Provider's Profile

Full Name	Smitha Mary Thotam
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	280 E Main St, Bay Shore, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Smitha Mary Thotam graduated from nursing school in 2011

NPI Data:

NPI Number: 1629262639
Provider Enumeration Date: 09/03/2007
Last Update Date: 08/04/2011

Medicare PECOS Information:

PECOS PAC ID: 3173790730
Enrollment ID: I20120123000246

Medical Identifiers

Medical identifiers for Smitha Mary Thotam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629262639	NPI	-	NPPES
02877329	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	506599 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	F305772 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
New York University	1355232422	4495

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. Smitha Mary Thotam allows following entities to bill medicare on her behalf.

Entity Name	South Shore Neurologic Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083782460 PECOS PAC ID: 5092602110 Enrollment ID: O20040303000492

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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. Smitha Mary Thotam 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
Smitha Mary Thotam, NP 280 E Main St, P. O. Box 9182, Bay Shore, NY 11706-8403 Ph: (631) 666-3939	Smitha Mary Thotam, NP 280 E Main St, Bay Shore, NY 11706-8403 Ph: (631) 666-3939

Reviews and Comments

Nurse Practitioner Nurses in Bay Shore, NY

Cheryl Schoedler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 Cassel Ave, Bay Shore, NY 11706 Phone: 631-969-0546
Allison Marie Kornahrens, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Ithaca St, Bay Shore, NY 11706 Phone: 631-252-3249
Marie Burkhardt, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3818 Fax: 631-968-3698
Deborah Beauplan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000
Mrs. Teresa Sara More, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 E Forks Rd, Bay Shore, NY 11706 Phone: 631-664-3106
Susan Aiken, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 4th Ave, Bay Shore, NY 11706 Phone: 631-665-6707
Ms. Iverine M Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Princeton Street, Bay Shore, NY 11706 Phone: 516-680-6653

Smitha Mary Thotam, NP - Medicare Nurse Practitioner in Bay Shore, NY