Dr Kavitha Shashikumar, MD in Fort Worth, TX - Medicare Preventive Medicine

Dr Kavitha Shashikumar, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Fort Worth, Texas. Her current practice location is 6528 Saucon Valley Dr, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 819-4919.

Dr Kavitha Shashikumar is licensed to practice in Georgia (license number 100265) 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 1497858435.

Contact Information

	Dr Kavitha Shashikumar, MD
	6528 Saucon Valley Dr, Fort Worth, TX 76132-5452
	(817) 819-4919
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kavitha Shashikumar
Gender	Female
Speciality	Preventive Medicine - Undersea And Hyperbaric Medicine
Location	6528 Saucon Valley Dr, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497858435
Provider Enumeration Date: 09/06/2006
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3476534819
Enrollment ID: I20240313002810

Medical Identifiers

Medical identifiers for Dr Kavitha Shashikumar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497858435	NPI	-	NPPES
154604602	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	100265 (Georgia)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	L5558 (Texas)	Secondary
2083P0011X	Preventive Medicine - Undersea And Hyperbaric Medicine	100265 (Georgia)	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 Kavitha Shashikumar allows following entities to bill medicare on her behalf.

Entity Name	Sanford Bismarck
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403

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 Kavitha Shashikumar 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 Kavitha Shashikumar, MD Po Box 16387, Fort Worth, TX 76162-0387 Ph: (817) 294-1408	Dr Kavitha Shashikumar, MD 6528 Saucon Valley Dr, Fort Worth, TX 76132-5452 Ph: (817) 819-4919

Reviews and Comments

Preventive Medicine Doctors in Fort Worth, TX

Dr. Scott Charles Taylor, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6916 Desert Highlands Dr, Fort Worth, TX 76132 Phone: 817-715-7290 Fax: 817-370-9772
Dr. Guillermo J. Salazar, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137 Phone: 817-222-5301 Fax: 817-222-5965
Roy G Kreusel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 615-778-4066
Dr. Michael Robert Jarrard, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 Phone: 817-352-1604 Fax: 817-352-7507
Dr. Prathima Nagireddy, M.D Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750
Dr. Robin K.b. Chan, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Baylor All Saints - Department Of Emergency Medicine, Fort Worth, TX 76104 Phone: 817-926-2544
Mark E Morris, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 615-778-4066

Dr Kavitha Shashikumar, MD - Medicare Preventive Medicine in Fort Worth, TX