Mr Shashank Mishra, MD in Charlotte, NC - Medicare Family Medicine

Mr Shashank Mishra, MD is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. His current practice location is 4815 Berewick Town Center Dr Ste C&d, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 337-4652.

Mr Shashank Mishra is licensed to practice in North Carolina (license number 2003-01021) 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 1386641728.

Contact Information

	Mr Shashank Mishra, MD
	4815 Berewick Town Center Dr Ste C&d, Charlotte, NC 28278-6733
	(980) 337-4652
	(980) 337-4653

Map and Direction

Physician's Profile

Full Name	Mr Shashank Mishra
Gender	Male
Speciality	Family Medicine
Location	4815 Berewick Town Center Dr Ste C&d, 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: 1386641728
Provider Enumeration Date: 06/30/2005
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID: 1254309941
Enrollment ID: I20090402000523

Medical Identifiers

Medical identifiers for Mr Shashank Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386641728	NPI	-	NPPES
1359A	Other	NC	BCBS PROVIDER NUMBER
891359A	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2003-01021 (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. Mr Shashank Mishra allows following entities to bill medicare on his behalf.

Entity Name	Carolina Family Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270

Entity Name	Prisma Health Tuomey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548625593 PECOS PAC ID: 2163728528 Enrollment ID: O20160310001016

Entity Name	App Of South Carolina Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457878084 PECOS PAC ID: 3577821107 Enrollment ID: O20180103000650

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. Mr Shashank Mishra 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
Mr Shashank Mishra, MD Po Box 601843, Charlotte, NC 28260-1843 Ph: () -	Mr Shashank Mishra, MD 4815 Berewick Town Center Dr Ste C&d, Charlotte, NC 28278-6733 Ph: (980) 337-4652

Reviews and Comments

Family Medicine Doctors in Charlotte, NC

Leslie Kay Ruffing Adcock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207 Phone: 704-304-7000
Dr. David Lee Wright, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 224 Parkwood Ave, Charlotte, NC 28206 Phone: 704-669-8031
Alecia Marie Wilson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10216 Perimeter Pkwy Ste C, Charlotte, NC 28216 Phone: 980-202-6526
Lillian M. Teigland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210 Phone: 704-384-0588 Fax: 704-384-0580
Felice A James, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 Eastway Dr, Charlotte, NC 28213 Phone: 704-446-9991
Heather M. Burney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208 Phone: 704-446-9987
Dr. Jerome Howard, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6111 Rumple Rd, Charlotte, NC 28262 Phone: 704-596-5067 Fax: 704-599-9458

Mr Shashank Mishra, MD - Medicare Family Medicine in Charlotte, NC