Dr Supriya Banad Jagannath, MD - Medicare Anesthesiology in Salisbury, MD

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Dr Supriya Banad Jagannath, MD is a medicare enrolled "Anesthesiology" physician in Salisbury, Maryland. Her current practice location is 100 E Carroll St, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 543-7375.

Dr Supriya Banad Jagannath is licensed to practice in Maryland (license number D0064112) 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 1164464434.

Contact Information

Dr Supriya Banad Jagannath, MD
100 E Carroll St,
Salisbury, MD 21801-5422
(410) 543-7375
Not Available

Map and Direction




Physician's Profile

Full NameDr Supriya Banad Jagannath
GenderFemale
SpecialityAnesthesiology
Location100 E Carroll St, Salisbury, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164464434
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 11/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850394388
  • Enrollment ID: I20060822000577

Medical Identifiers

Medical identifiers for Dr Supriya Banad Jagannath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164464434NPI-NPPES
411276800MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology D0064112 (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 Supriya Banad Jagannath allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871548156
PECOS PAC ID: 4587559026
Enrollment ID: O20040216000401
Entity NameFirst Colonies Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740218767
PECOS PAC ID: 8426039744
Enrollment ID: O20040525000119
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043378656
PECOS PAC ID: 3779495858
Enrollment ID: O20080519000558
Entity NameColumbia Outpatient Sedation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588921225
PECOS PAC ID: 3476718792
Enrollment ID: O20120711000267
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1942546486
PECOS PAC ID: 3779495858
Enrollment ID: O20141111002041
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1457023616
PECOS PAC ID: 3779495858
Enrollment ID: O20220105001262

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 Supriya Banad Jagannath 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
Dr Supriya Banad Jagannath, MD
Po Box 2181,
Salisbury, MD 21802-2181

Ph: (410) 476-7511		Dr Supriya Banad Jagannath, MD
100 E Carroll St,
Salisbury, MD 21801-5422

Ph: (410) 543-7375

Reviews and Comments


Anesthesiology Doctors in Salisbury, MD

Alex L Mah, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-543-7375    
Dr. David M. Schalk, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 804 Snow Hill Rd, Salisbury, MD 21804
Phone: 410-546-0300    Fax: 410-546-8364
Nikoloz Gvetadze,
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-546-6400    
Nicholas A Woodford, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 100 East Carroll Street, Salisbury, MD 21801
Phone: 410-543-7375    
Dr. Ben Tacheron, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 6503 Deer Pointe Dr Ste A, Salisbury, MD 21804
Phone: 855-527-7246    Fax: 866-229-5063
Dr. Conworth L Dayton-jones, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 264 Tilghman Rd, Salisbury, MD 21804
Phone: 410-742-7246    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.