Dr Srirupa Ghoshtagore, MD in Jessup, MD - Medicare Psychiatry & Neurology

Dr Srirupa Ghoshtagore, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jessup, Maryland. Her current practice location is 8450 Dorsey Run Rd, Jessup, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 724-3089.

Dr Srirupa Ghoshtagore is licensed to practice in Maryland (license number D0026222) 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 1912994948.

Contact Information

	Dr Srirupa Ghoshtagore, MD
	8450 Dorsey Run Rd, Jessup, MD 20794-9486
	(410) 724-3089
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Srirupa Ghoshtagore
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	8450 Dorsey Run Rd, Jessup, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912994948
Provider Enumeration Date: 10/04/2005
Last Update Date: 06/18/2012

Medicare PECOS Information:

PECOS PAC ID: 3072525062
Enrollment ID: I20060609000145

Medical Identifiers

Medical identifiers for Dr Srirupa Ghoshtagore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912994948	NPI	-	NPPES
269341100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	D0026222 (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. Dr Srirupa Ghoshtagore allows following entities to bill medicare on her behalf.

Entity Name	Sheppard Pratt Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737

Entity Name	State Of Maryland - University Of Maryland College Park
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841281680 PECOS PAC ID: 7416859327 Enrollment ID: O20040122000210

Entity Name	Della Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750635207 PECOS PAC ID: 3971755000 Enrollment ID: O20121218000204

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 Srirupa Ghoshtagore 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 Srirupa Ghoshtagore, MD 5005 Rushlight Path, Columbia, MD 21044-1298 Ph: (410) 715-4961	Dr Srirupa Ghoshtagore, MD 8450 Dorsey Run Rd, Jessup, MD 20794-9486 Ph: (410) 724-3089

Reviews and Comments

Psychiatry & Neurology Doctors in Jessup, MD

Dr. Leslie Anne Earll, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7555 Waterloo Rd, Jessup, MD 20794 Phone: 443-204-6914
Dr. Travis Klein, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3080
Dr. Shanda B Priest, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3000
Dr. Lisa Michelle Sloat, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3088 Fax: 410-724-3079
Inna Taller, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3000
Neha Navneet Sharma, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8450 Dorsey Run Rd, Jessup, MD 20794 Phone: 410-724-3000
Spencer A. Ward, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7555 Waterloo Rd, Patuxent Institution, Jessup, MD 20794 Phone: 410-799-3400 Fax: 410-799-4631

Dr Srirupa Ghoshtagore, MD - Medicare Psychiatry & Neurology in Jessup, MD