Dr Deepa Mukundan, MD in Toledo, OH

Dr Deepa Mukundan, MD is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Toledo, Ohio. Her current practice location is 2150 W Central Ave Fl 2, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 291-5599.

Dr Deepa Mukundan is licensed to practice in Ohio (license number 35-088176) 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 1023111200.

Contact Information

	Dr Deepa Mukundan, MD
	2150 W Central Ave Fl 2, Toledo, OH 43606-3834
	(419) 291-5599
	(419) 291-6468

Map and Direction

Physician's Profile

Full Name	Dr Deepa Mukundan
Gender	Female
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	2150 W Central Ave Fl 2, Toledo, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023111200
Provider Enumeration Date: 09/06/2006
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9234218272
Enrollment ID: I20080502000138

Medical Identifiers

Medical identifiers for Dr Deepa Mukundan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023111200	NPI	-	NPPES
2694731	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0208X	Pediatrics - Pediatric Infectious Diseases	35-088176 (Ohio)	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. Dr Deepa Mukundan allows following entities to bill medicare on her behalf.

Entity Name	University Of Toledo Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019

Entity Name	Mercy Health Physicians-north Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750

Entity Name	Mercy Health Physicians North Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534

Entity Name	Northwest Pediatric Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359

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. Dr Deepa Mukundan 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
Dr Deepa Mukundan, MD 4510 Dorr St # Ms 840, Toledo, OH 43615-4040 Ph: (419) 383-5334	Dr Deepa Mukundan, MD 2150 W Central Ave Fl 2, Toledo, OH 43606-3834 Ph: (419) 291-5599

Reviews and Comments

Pediatrics Doctors in Toledo, OH

Erica Devries, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, 5-north Pediatrics, Toledo, OH 43606 Phone: 419-291-4000 Fax: 419-479-6102
Ernest S Siwik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2222 Cherry St Ste 2800, Toledo, OH 43608 Phone: 419-251-8035 Fax: 419-251-7716
Dr. Lysa Marleen Aemmer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2213 Franklin Ave, Toledo, OH 43620 Phone: 419-251-2415
Robert W Mills, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7629 Kings Pointe Rd, Toledo, OH 43617 Phone: 419-841-6202 Fax: 419-841-6338
Robert Jan Salzman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3715 Airport Highway, Suite H, Toledo, OH 43615 Phone: 419-389-1444 Fax: 419-389-6755
Dr. David Geisinger, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000

Dr Deepa Mukundan, MD - Medicare Pediatrics in Toledo, OH