Gurpur Shashidhar Pai, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Charleston, South Carolina. His current practice location is
171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 792-1414.
Gurpur Shashidhar Pai is licensed to practice in South Carolina (license number 10267) 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 1306954268.
Physician's Profile
| Full Name | Gurpur Shashidhar Pai |
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| Gender | Male |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 171 Ashley Ave, Charleston, South Carolina |
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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: 1306954268
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 10/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466443270
- Enrollment ID: I20040520000904
Medical Identifiers
Medical identifiers for Gurpur Shashidhar Pai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1306954268 | NPI | - | NPPES |
| 102677 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 10267 (South Carolina) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 10267 (South Carolina) | 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. Gurpur Shashidhar Pai allows following entities to bill medicare on his behalf.
| Entity Name | University Medical Associates Of The Medical University Of South Carol |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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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. Gurpur Shashidhar Pai 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 |
Gurpur Shashidhar Pai, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Gurpur Shashidhar Pai, MD 171 Ashley Ave, Charleston, SC 29425-0001 Ph: (843) 792-1414 |
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