Mr Subarna Gautam, MD is a medicare enrolled "Hospitalist" physician in Kernersville, North Carolina. His current practice location is
1750 Kernersville Medical Pkwy, Kernersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 564-4866.
Mr Subarna Gautam is licensed to practice in North Carolina (license number 2025-01329) 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 1942863436.
Physician's Profile
| Full Name | Mr Subarna Gautam |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 1750 Kernersville Medical Pkwy, Kernersville, North 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: 1942863436
- Provider Enumeration Date: 04/19/2019
- Last Update Date: 08/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032595228
- Enrollment ID: I20220926000472
Medical Identifiers
Medical identifiers for Mr Subarna Gautam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942863436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | MD477958 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 2025-01329 (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 Subarna Gautam allows following entities to bill medicare on his behalf.
| Entity Name | University Of Pittsburgh Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
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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. Mr Subarna Gautam 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 Subarna Gautam, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 564-4866 | Mr Subarna Gautam, MD 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 Ph: (336) 564-4866 |
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