Deepshikha Datta, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hermiston, Oregon. Her current practice location is
610 Nw 11th St, Hermiston, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 667-3578.
Deepshikha Datta is licensed to practice in Oregon (license number MD23782) 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 1346206083.
Physician's Profile
| Full Name | Deepshikha Datta |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 610 Nw 11th St, Hermiston, Oregon |
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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: 1346206083
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 11/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971608860
- Enrollment ID: I20070423000128
Medical Identifiers
Medical identifiers for Deepshikha Datta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346206083 | NPI | - | NPPES |
| 028733 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD23782 (Oregon) | 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. Deepshikha Datta allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Pathology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205997889 PECOS PAC ID: 1951399484 Enrollment ID: O20040504000657 |
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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. Deepshikha Datta 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 |
Deepshikha Datta, MD Po Box 1049, Pendleton, OR 97850 Ph: (541) 966-1184 | Deepshikha Datta, MD 610 Nw 11th St, Hermiston, OR 97838 Ph: (541) 667-3578 |
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