Sushma Sudhi, DO in Carrollton, GA

Sushma Sudhi, DO is a medicare enrolled "Pediatrics" physician in Carrollton, Georgia. Her current practice location is 706 Dixie St Ste 210, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-8640.

Sushma Sudhi is licensed to practice in Georgia (license number 91782) 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 1770045015.

Contact Information

	Sushma Sudhi, DO
	706 Dixie St Ste 210, Carrollton, GA 30117-3889
	(770) 812-8640
	(770) 838-8650

Map and Direction

Physician's Profile

Full Name	Sushma Sudhi
Gender	Female
Speciality	Pediatrics
Location	706 Dixie St Ste 210, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770045015
Provider Enumeration Date: 04/04/2019
Last Update Date: 05/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8820432784
Enrollment ID: I20240219002366

Medical Identifiers

Medical identifiers for Sushma Sudhi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770045015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	91782 (Georgia)	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. Sushma Sudhi allows following entities to bill medicare on her behalf.

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

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. Sushma Sudhi 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
Sushma Sudhi, DO 706 Dixie St Ste 210, Carrollton, GA 30117-3889 Ph: (770) 812-8640	Sushma Sudhi, DO 706 Dixie St Ste 210, Carrollton, GA 30117-3889 Ph: (770) 812-8640

Reviews and Comments

Pediatrics Doctors in Carrollton, GA

Emily Denney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 210, Carrollton, GA 30117 Phone: 770-812-8640 Fax: 770-838-8650
Caitlin Mehalick Tierney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606
Jack W Miller, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Pl, Ste 104, Carrollton, GA 30117 Phone: 770-830-7039 Fax: 770-830-7149
Nyla Faye Cline, NURSE PRACTIONER Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833
Charles Edward Stevenson Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833
Jonathan M Goodin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 804 Dixie St, Carrollton, GA 30117 Phone: 770-834-0606 Fax: 770-834-1833

Sushma Sudhi, DO - Medicare Pediatrics in Carrollton, GA