Purushottam V Pande, MD - Medicare Medical Oncology in Gulfport, MS

Purushottam V Pande, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Gulfport, Mississippi. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Medical Oncology. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is 1340 Broad Ave, Suite 270, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 575-1234.

Purushottam V Pande is licensed to practice in Mississippi (license number 11683) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619953072.

Contact Information

Purushottam V Pande, MD
1340 Broad Ave, Suite 270,
Gulfport, MS 39501-2404
(228) 575-1234
(228) 575-1240



Physician's Profile

Full NamePurushottam V Pande
GenderMale
SpecialityMedical Oncology
Experience49 Years
Location1340 Broad Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Purushottam V Pande graduated from medical school in 1975
  NPI Data:
  • NPI Number: 1619953072
  • Provider Enumeration Date: 12/19/2005
  • Last Update Date: 07/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315955721
  • Enrollment ID: I20060327000786

Medical Identifiers

Medical identifiers for Purushottam V Pande such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619953072NPI-NPPES
00013335MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 11683 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012376

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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. Purushottam V Pande allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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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. Purushottam V Pande 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
Purushottam V Pande, MD
Po Box 1810,
Gulfport, MS 39502-1810

Ph: (228) 575-1234
Purushottam V Pande, MD
1340 Broad Ave, Suite 270,
Gulfport, MS 39501-2404

Ph: (228) 575-1234

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Internal Medicine Doctors in Gulfport, MS

Dr. Nabil Azar, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501
Phone: 228-575-1400    Fax: 228-575-1414
Dr. Fahad Javed, M.D.,
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 4215 15th St, Gulfport, MS 39501
Phone: 228-863-5211    Fax: 228-863-4101
Indrajit J Patel, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152
James K. Campbell, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd Ste 240, Gulfport, MS 39503
Phone: 228-575-7104    Fax: 228-539-6766
Dr. Thomas Blanks, M.D.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501
Phone: 228-864-0314    Fax: 228-864-0425
Dr. Stephanie Fussell, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501
Phone: 228-575-1234    Fax: 228-867-4828
Dr. Malcolm Scott Dean, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152

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