Dr Indrani Datta, MD - Medicare Emergency Medicine in Derby, CT

Dr Indrani Datta, MD is a medicare enrolled "Emergency Medicine" physician in Derby, Connecticut. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Westport Urgent Care Llc and her current practice location is 130 Division St, Derby, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 732-7403.

Dr Indrani Datta is licensed to practice in Connecticut (license number 044215) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376562991.

Contact Information

Dr Indrani Datta, MD
130 Division St,
Derby, CT 06418-1326
(203) 732-7403
Not Available



Physician's Profile

Full NameDr Indrani Datta
GenderFemale
SpecialityEmergency Medicine
Experience22 Years
Location130 Division St, Derby, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Indrani Datta graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1376562991
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0143225532
  • Enrollment ID: I20060918000306

Medical Identifiers

Medical identifiers for Dr Indrani Datta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376562991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 044215 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Westport Urgent Care Llc46888267124

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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. Dr Indrani Datta allows following entities to bill medicare on her behalf.
Entity NameWestport Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154672483
PECOS PAC ID: 4688826712
Enrollment ID: O20121218000225

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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. Dr Indrani Datta 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
Dr Indrani Datta, MD
130 Division St,
Derby, CT 06418-1326

Ph: () -
Dr Indrani Datta, MD
130 Division St,
Derby, CT 06418-1326

Ph: (203) 732-7403

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Emergency Medicine Doctors in Derby, CT

Dr. Sybil Cheng, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Dr. Gregory Boris, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    Fax: 203-732-7177
Dr. Stephen Michael Kelly, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Russell Scott Holliday, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-732-7403    
Laura Butler, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    
Shane Leslie Leighton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Division St, Derby, CT 06418
Phone: 203-735-7421    

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