Carmine Suppa, - Medicare Pediatrics in Charleston, SC

Carmine Suppa, is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Carmine Suppa is licensed to practice in South Carolina (license number 83194) 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 1760800650.

Contact Information

Carmine Suppa,
171 Ashley Ave,
Charleston, SC 29425-3816
(843) 792-1414
Not Available

Map and Direction




Physician's Profile

Full NameCarmine Suppa
GenderMale
SpecialityPediatrics - Pediatric Gastroenterology
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760800650
  • Provider Enumeration Date: 03/28/2014
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2163761123
  • Enrollment ID: I20200511000019

Medical Identifiers

Medical identifiers for Carmine Suppa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760800650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0206XPediatrics - Pediatric Gastroenterology 83194 (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. Carmine Suppa allows following entities to bill medicare on his behalf.
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Carmine Suppa 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
Carmine Suppa,
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Carmine Suppa,
171 Ashley Ave,
Charleston, SC 29425-3816

Ph: (843) 792-1414

Reviews and Comments


Pediatrics Doctors in Charleston, SC

Andrew M Atz, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Savanna Gilhooly Dincman, MD, MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Jason Robert Buckley, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Elizabeth Emrath Zivick, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Megan Elizabeth Redfern, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-876-0795    
Elizabeth Mary Wallis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Caitlin Marie Stoll, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414
Phone: 386-479-8265    

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).

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