Kusum M Pradhan, MD - Medicare Pediatrics in Newburgh, IN

Kusum M Pradhan, MD is a medicare enrolled "Pediatrics" physician in Newburgh, Indiana. Her current practice location is 4209 Gateway Blvd, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 858-5300.

Kusum M Pradhan is licensed to practice in Indiana (license number 01078743A) 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 1558776278.

Contact Information

Kusum M Pradhan, MD
4209 Gateway Blvd,
Newburgh, IN 47630-8900
(812) 858-5300
Not Available

Map and Direction




Physician's Profile

Full NameKusum M Pradhan
GenderFemale
SpecialityPediatrics
Location4209 Gateway Blvd, Newburgh, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558776278
  • Provider Enumeration Date: 06/23/2014
  • Last Update Date: 09/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709142912
  • Enrollment ID: I20171103001349

Medical Identifiers

Medical identifiers for Kusum M Pradhan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558776278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 01078743A (Indiana)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. Kusum M Pradhan allows following entities to bill medicare on her behalf.
Entity NameDeaconess Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619123585
PECOS PAC ID: 3375610116
Enrollment ID: O20080922000145

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. Kusum M Pradhan 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
Kusum M Pradhan, MD
Po Box 1510,
Evansville, IN 47706-1510

Ph: (812) 450-6815
Kusum M Pradhan, MD
4209 Gateway Blvd,
Newburgh, IN 47630-8900

Ph: (812) 858-5300

Reviews and Comments


Pediatrics Doctors in Newburgh, IN

Kenneth Herrmann, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-4280    Fax: 812-842-4580
Michelle Renee Estep, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-3880    Fax: 812-842-3916
Julie A Hurlock, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630
Phone: 812-853-5300    Fax: 812-858-4660
Barry S Phillips, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630
Phone: 812-853-5300    Fax: 812-858-4660
Rangassamy Meibalane, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4199 Gateway Blvd, Newburgh, IN 47630
Phone: 812-842-4280    Fax: 812-842-4580
Maria C Ranola, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4011 Gateway Blvd, Newburgh, IN 47630
Phone: 812-450-6815    Fax: 812-450-6822
Teresa L Martelli,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4111 Gateway Blvd, Newburgh, IN 47630
Phone: 812-853-5300    Fax: 812-858-4660

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.