Anjali Gupta, is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Eustis, Florida. Her current practice location is
1320 S Bay St, Eustis, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 530-9557.
Anjali Gupta is licensed to practice in Florida (license number ME136879) 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 1760414122.
Physician's Profile
| Full Name | Anjali Gupta |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 1320 S Bay St, Eustis, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760414122
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 10/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325089873
- Enrollment ID: I20201028002079
Medical Identifiers
Medical identifiers for Anjali Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760414122 | NPI | - | NPPES |
| 70640 | Other | IA | WELLMARK BCBS |
| ME136879 | Other | FL | MEDICAL LICENSE |
| 0016869060001 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 036129588 (Illinois) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 37462 (Iowa) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD063886L (Pennsylvania) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | ME136879 (Florida) | Primary |
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. Anjali Gupta 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 |
|---|
Anjali Gupta,
1320 S Bay St,
Eustis, FL 32726-5551
Ph: (352) 530-9557 | Anjali Gupta,
1320 S Bay St,
Eustis, FL 32726-5551
Ph: (352) 530-9557 |
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