Shantum Misra, MD in Lebanon, NH - Medicare Internal Medicine

Shantum Misra, MD is a medicare enrolled "Internal Medicine" physician in Lebanon, New Hampshire. His current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 653-9500.

Shantum Misra is licensed to practice in New Hampshire (license number 38067) 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 1851898670.

Contact Information

	Shantum Misra, MD
	1 Medical Center Dr, Lebanon, NH 03756-1000
	(603) 653-9500
	Not Available

Map and Direction

Physician's Profile

Full Name	Shantum Misra
Gender	Male
Speciality	Internal Medicine
Location	1 Medical Center Dr, Lebanon, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851898670
Provider Enumeration Date: 04/09/2018
Last Update Date: 02/12/2026

Medicare PECOS Information:

PECOS PAC ID: 2365799699
Enrollment ID: I20210615001782

Medical Identifiers

Medical identifiers for Shantum Misra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851898670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	287544 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	38067 (New Hampshire)	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. Shantum Misra allows following entities to bill medicare on his behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497151773 PECOS PAC ID: 6305749987 Enrollment ID: O20150211001099

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. Shantum Misra 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
Shantum Misra, MD Po Box 810, Hanover, NH 03755-0810 Ph: () -	Shantum Misra, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 653-9500

Reviews and Comments

Internal Medicine Doctors in Lebanon, NH

Elias Loukas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc Section Of Hospital Medicine, Lebanon, NH 03756 Phone: 603-650-8380 Fax: 603-640-1228
Dr. Michael W Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Drive, Gastroenterology, Lebanon, NH 03756 Phone: 603-650-5261
Hannah Elizabeth Foote Bensimhon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000 Fax: 603-640-1228
Victoria Forbes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5516
Wai Pok Vernon Chan, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Elisabeth S Souther, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-8380 Fax: 603-640-1228
Zanira Fazal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18 Old Etna Rd, Lebanon, NH 03766 Phone: 603-650-4000

Shantum Misra, MD - Medicare Internal Medicine in Lebanon, NH