Maxim Sungurov, in Charlotte, NC - Medicare Hospitalist

Maxim Sungurov, is a medicare enrolled "Hospitalist" physician in Charlotte, North Carolina. His current practice location is 2001 Vail Ave, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 304-6070.

Maxim Sungurov is licensed to practice in North Carolina (license number 2016-02365) 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 1952397812.

Contact Information

	Maxim Sungurov,
	2001 Vail Ave, Charlotte, NC 28207-1248
	(704) 304-6070
	Not Available

Map and Direction

Physician's Profile

Full Name	Maxim Sungurov
Gender	Male
Speciality	Hospitalist
Location	2001 Vail Ave, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952397812
Provider Enumeration Date: 09/26/2005
Last Update Date: 02/12/2019

Medicare PECOS Information:

PECOS PAC ID: 3375432099
Enrollment ID: I20101123000030

Medical Identifiers

Medical identifiers for Maxim Sungurov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952397812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	2016-02365 (North 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. Maxim Sungurov allows following entities to bill medicare on his behalf.

Entity Name	Cooper Physician Offices Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154369510 PECOS PAC ID: 2860396611 Enrollment ID: O20031122000067

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. Maxim Sungurov 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
Maxim Sungurov, 2001 Vail Ave, Charlotte, NC 28207-1248 Ph: () -	Maxim Sungurov, 2001 Vail Ave, Charlotte, NC 28207-1248 Ph: (704) 304-6070

Reviews and Comments

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Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241
Thanigaiarsu Thiyagarajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4475

Maxim Sungurov, - Medicare Hospitalist in Charlotte, NC