Deep Hans Mahapatra, is a medicare enrolled "Family Medicine" physician in Perry Hall, Maryland. His current practice location is
5009 Honeygo Center Dr Ste 216, Perry Hall, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 256-5858.
Deep Hans Mahapatra is licensed to practice in Maryland (license number H96650) 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 1053874115.
Physician's Profile
Full Name | Deep Hans Mahapatra |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 5009 Honeygo Center Dr Ste 216, Perry Hall, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053874115
- Provider Enumeration Date: 04/07/2019
- Last Update Date: 05/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931564416
- Enrollment ID: I20230505001790
Medical Identifiers
Medical identifiers for Deep Hans Mahapatra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053874115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | H96650 (Maryland) | 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. Deep Hans Mahapatra allows following entities to bill medicare on his behalf.
Entity Name | Upper Chesapeake Primary Care,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093902793 PECOS PAC ID: 3476637737 Enrollment ID: O20080225000747 |
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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. Deep Hans Mahapatra 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 |
Deep Hans Mahapatra, 215 Brightwater Dr, Lillington, NC 27546-5156 Ph: (910) 892-1000 | Deep Hans Mahapatra, 5009 Honeygo Center Dr Ste 216, Perry Hall, MD 21128-9842 Ph: (410) 256-5858 |
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