Dr Divya Shakti, MD in Jackson, MS

Dr Divya Shakti, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Jackson, Mississippi. Her current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5250.

Dr Divya Shakti is licensed to practice in Mississippi (license number 23419) 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 1659559300.

Contact Information

	Dr Divya Shakti, MD
	2500 North State Street, Jackson, MS 39216
	(601) 984-5250
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Divya Shakti
Gender	Female
Speciality	Pediatrics - Pediatric Cardiology
Location	2500 North State Street, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659559300
Provider Enumeration Date: 02/05/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9234350430
Enrollment ID: I20240709000579

Medical Identifiers

Medical identifiers for Dr Divya Shakti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659559300	NPI	-	NPPES
998912	Other	MI	DMC EMPLOYEE ID NUMBER
05487537	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301090267 (Michigan)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	23419 (Mississippi)	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. Dr Divya Shakti allows following entities to bill medicare on her behalf.

Entity Name	Pratt Pediatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477590511 PECOS PAC ID: 3779475371 Enrollment ID: O20040329000127

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 Divya Shakti 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
Dr Divya Shakti, MD 2500 North State Street, Jackson, MS 39216 Ph: (601) 984-5250	Dr Divya Shakti, MD 2500 North State Street, Jackson, MS 39216 Ph: (601) 984-5250

Reviews and Comments

Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000
Daniel Ulises Torres Arias, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005
Logan Sears Havard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151

Dr Divya Shakti, MD - Medicare Pediatrics in Jackson, MS