Dr Ajay Shetty, MD - Medicare Pulmonary Disease in Scranton, PA

Dr Ajay Shetty, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Scranton, Pennsylvania. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Geisinger Clinic and his current practice location is 1800 Mulberry St., Scranton, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 703-8231.

Dr Ajay Shetty is licensed to practice in Pennsylvania (license number MD059970L) 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 1053498170.

Contact Information

Dr Ajay Shetty, MD
1800 Mulberry St.,
Scranton, PA 18510-6800
(570) 703-8231
Not Available

Map and Direction




Physician's Profile

Full NameDr Ajay Shetty
GenderMale
SpecialityPulmonary Disease
Experience38 Years
Location1800 Mulberry St., Scranton, Pennsylvania
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:
  • Dr Ajay Shetty graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1053498170
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 08/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133164197
  • Enrollment ID: I20050621000961

Medical Identifiers

Medical identifiers for Dr Ajay Shetty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053498170NPI-NPPES
0017169700003MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease MD059970L (Pennsylvania)Secondary
207RC0200XInternal Medicine - Critical Care Medicine MD059970L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger-community Medical CenterScranton, PAHospital
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012866

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 Ajay Shetty allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameScranton Quincy Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508143074
PECOS PAC ID: 0143487389
Enrollment ID: O20120131000544

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 Ajay Shetty 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 Ajay Shetty, MD
100 N Academy Ave,
Danville, PA 17822-4903

Ph: (570) 271-6144
Dr Ajay Shetty, MD
1800 Mulberry St.,
Scranton, PA 18510-6800

Ph: (570) 703-8231

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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