Sreedhar Reddy Mitta, - Medicare Pediatrics in Carthage, MO

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Sreedhar Reddy Mitta, is a medicare enrolled "Pediatrics" physician in Carthage, Missouri. His current practice location is 2425 Fairlawn Dr, Carthage, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 237-0983.

Sreedhar Reddy Mitta is licensed to practice in Missouri (license number 2022030304) 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 1902455504.

Contact Information

Sreedhar Reddy Mitta,
2425 Fairlawn Dr,
Carthage, MO 64836-3517
(417) 237-0983
Not Available

Map and Direction




Physician's Profile

Full NameSreedhar Reddy Mitta
GenderMale
SpecialityPediatrics
Location2425 Fairlawn Dr, Carthage, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902455504
  • Provider Enumeration Date: 09/05/2019
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496085227
  • Enrollment ID: I20220818002608

Medical Identifiers

Medical identifiers for Sreedhar Reddy Mitta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902455504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4351045516 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics 2022030304 (Missouri)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. Sreedhar Reddy Mitta allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Joplin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264817
PECOS PAC ID: 0547300196
Enrollment ID: O20091218000092
Entity NameMercy Hospital Carthage
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003201955
PECOS PAC ID: 8426225251
Enrollment ID: O20120225000071

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. Sreedhar Reddy Mitta 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
Sreedhar Reddy Mitta,
2425 Fairlawn Dr,
Carthage, MO 64836-3517

Ph: (417) 237-0983		Sreedhar Reddy Mitta,
2425 Fairlawn Dr,
Carthage, MO 64836-3517

Ph: (417) 237-0983

Reviews and Comments


Pediatrics Doctors in Carthage, MO

Barbara G. Chilton, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1911 Buena Vista Ave, Carthage, MO 64836
Phone: 417-237-0983    Fax: 417-237-0997
Dr. Joseph William Mayo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1911 Buena Vista Ave, Carthage, MO 64836
Phone: 417-237-0983    Fax: 417-237-0997
Dr. Denise M. Hamar, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Oak St., Carthage Children's Clinic, Llc, Carthage, MO 64836
Phone: 417-359-9291    Fax: 417-359-9241

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.