Sushmita Thota, MD in Poplar Bluff, MO

Sushmita Thota, MD is a medicare enrolled "Pediatrics" physician in Poplar Bluff, Missouri. Her current practice location is 2879 James Blvd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 712-1610.

Sushmita Thota is licensed to practice in Missouri (license number 2024026869) 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 1003490426.

Contact Information

	Sushmita Thota, MD
	2879 James Blvd, Poplar Bluff, MO 63901-3395
	(573) 712-1610
	(573) 776-6124

Map and Direction

Physician's Profile

Full Name	Sushmita Thota
Gender	Female
Speciality	Pediatrics
Location	2879 James Blvd, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003490426
Provider Enumeration Date: 05/11/2021
Last Update Date: 06/18/2026

Medicare PECOS Information:

PECOS PAC ID: 3072913300
Enrollment ID: I20241023004536

Medical Identifiers

Medical identifiers for Sushmita Thota such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003490426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2024026869 (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. Sushmita Thota allows following entities to bill medicare on her behalf.

Entity Name	Big Springs Medical Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695

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. Sushmita Thota 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
Sushmita Thota, MD 110 S 2nd St, Ellington, MO 63638-9400 Ph: (573) 663-2313	Sushmita Thota, MD 2879 James Blvd, Poplar Bluff, MO 63901-3395 Ph: (573) 712-1610

Reviews and Comments

Pediatrics Doctors in Poplar Bluff, MO

Dr. Martha J Margreiter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684
Dr. Derry Dean Dye Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684
Dr. Rangsan Suvan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Lucy Lee Parkway, Poplar Bluff, MO 63901 Phone: 573-686-2585 Fax: 573-686-4415
Dr. Claudia Karin Preuschoff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Gift Adanma Onyenso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 400, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-727-5599
Dr. Debra Ann Robertson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 Physicians Park Ste 200, Poplar Bluff, MO 63901 Phone: 573-727-5500 Fax: 573-313-3684

Sushmita Thota, MD - Medicare Pediatrics in Poplar Bluff, MO