Poonam Mishra, MD - Medicare Internal Medicine in Detroit, MI

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Poonam Mishra, MD is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Detroit, Michigan. Her current practice location is 4646 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 576-1000.

Poonam Mishra is licensed to practice in Michigan (license number 4301091725) 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 1437312337.

Contact Information

Poonam Mishra, MD
4646 John R St,
Detroit, MI 48201-1916
(313) 576-1000
Not Available

Map and Direction




Physician's Profile

Full NamePoonam Mishra
GenderFemale
SpecialityInternal Medicine - Sleep Medicine
Location4646 John R St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437312337
  • Provider Enumeration Date: 07/10/2008
  • Last Update Date: 03/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4587842539
  • Enrollment ID: I20110622000661

Medical Identifiers

Medical identifiers for Poonam Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437312337NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 4301091725 (Michigan)Secondary
207RS0012XInternal Medicine - Sleep Medicine 4301091725 (Michigan)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. Poonam Mishra allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group- Specialty Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578072906
PECOS PAC ID: 7214299866
Enrollment ID: O20180320002549

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. Poonam 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 AddressPractice Location Address
Poonam Mishra, MD
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000		Poonam Mishra, MD
4646 John R St,
Detroit, MI 48201-1916

Ph: (313) 576-1000

Reviews and Comments


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Phone: 800-653-6568    Fax: 313-876-1305

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.