Anisa Sugantal Suparmanian, in Scranton, PA - Medicare Psychiatry & Neurology

Anisa Sugantal Suparmanian, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Scranton, Pennsylvania. Her current practice location is 111 N Washington Ave, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 343-2383.

Anisa Sugantal Suparmanian is licensed to practice in California (license number A187217) 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 1275190514.

Contact Information

	Anisa Sugantal Suparmanian,
	111 N Washington Ave, Scranton, PA 18503-1828
	(570) 343-2383
	Not Available

Map and Direction

Physician's Profile

Full Name	Anisa Sugantal Suparmanian
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	111 N Washington Ave, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275190514
Provider Enumeration Date: 05/22/2019
Last Update Date: 07/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3375871924
Enrollment ID: I20240311000751

Medical Identifiers

Medical identifiers for Anisa Sugantal Suparmanian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275190514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MT217917 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A187217 (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. Anisa Sugantal Suparmanian allows following entities to bill medicare on her behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

Entity Name	Integrative Psychiatry A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720268980 PECOS PAC ID: 4587057286 Enrollment ID: O20220201001918

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. Anisa Sugantal Suparmanian 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
Anisa Sugantal Suparmanian, 2500 Biscayne Blvd Apt 606, Miami, FL 33137-4565 Ph: () -	Anisa Sugantal Suparmanian, 111 N Washington Ave, Scranton, PA 18503-1828 Ph: (570) 343-2383

Reviews and Comments

Psychiatry & Neurology Doctors in Scranton, PA

Dr. Varsha J. Pandya, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1509 Maple St, Scranton, PA 18505 Phone: 570-342-8305 Fax: 570-344-1178
Dr. Michael J. Rainey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 326 Adams Ave, Scranton, PA 18503 Phone: 570-348-6100 Fax: 570-969-8955
Dr. Edward Y. Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 326 Adams Ave, Scranton, PA 18503 Phone: 570-348-6100 Fax: 570-969-8955
Dr. Kenneth William Lilik, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 311 Mulberry St, Scranton, PA 18503 Phone: 570-961-3933 Fax: 570-342-4318
Rooshi Amit Patel, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Madison Ave, Scranton, PA 18510 Phone: 570-343-2383
Atika Zubera, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 329 Cherry St, Scranton, PA 18505 Phone: 570-348-6100

Anisa Sugantal Suparmanian, - Medicare Psychiatry & Neurology in Scranton, PA