Maxim Sungurov, - Medicare Hospitalist in Charlotte, NC

Maxim Sungurov, is a medicare enrolled "Hospitalist" physician in Charlotte, North Carolina. His current practice location is 2001 Vail Ave, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 304-6070.

Maxim Sungurov is licensed to practice in North Carolina (license number 2016-02365) 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 1952397812.

Contact Information

Maxim Sungurov,
2001 Vail Ave,
Charlotte, NC 28207-1248
(704) 304-6070
Not Available



Physician's Profile

Full NameMaxim Sungurov
GenderMale
SpecialityHospitalist
Location2001 Vail Ave, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952397812
  • Provider Enumeration Date: 09/26/2005
  • Last Update Date: 02/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375432099
  • Enrollment ID: I20101123000030

Medical Identifiers

Medical identifiers for Maxim Sungurov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952397812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 2016-02365 (North Carolina)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. Maxim Sungurov allows following entities to bill medicare on his behalf.
Entity NameCooper Physician Offices Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154369510
PECOS PAC ID: 2860396611
Enrollment ID: O20031122000067

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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. Maxim Sungurov 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
Maxim Sungurov,
2001 Vail Ave,
Charlotte, NC 28207-1248

Ph: () -
Maxim Sungurov,
2001 Vail Ave,
Charlotte, NC 28207-1248

Ph: (704) 304-6070

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Hospitalist Doctors in Charlotte, NC

Shakuntala Mathapati, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-0720    
Nicole A. Cagle Richardson, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    
David Jerret Pubantz, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211
Phone: 704-381-0500    
Joshua Lee Eichenberger, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-0720    
Stefanie Rose Reed, DO
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203
Phone: 704-381-8840    
Jasdip G. Bajaj, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 8800 N Tryon St, Charlotte, NC 28262
Phone: 704-863-6241    
Thanigaiarsu Thiyagarajan, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-4475    

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