Dr Shaivya Pathak, MD is a medicare enrolled "Hospitalist" physician in Tarboro, North Carolina. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Vidant Medical Group Llc and her current practice location is
111 Hospital Dr, Tarboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 641-7700.
Dr Shaivya Pathak is licensed to practice in North Carolina (license number 202201777) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821551052.
Physician's Profile
| Full Name | Dr Shaivya Pathak |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Experience | 6 Years |
|---|
| Location | 111 Hospital Dr, Tarboro, North Carolina |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Shaivya Pathak graduated from medical school in 2019
NPI Data:
- NPI Number: 1821551052
- Provider Enumeration Date: 04/14/2019
- Last Update Date: 06/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193052868
- Enrollment ID: I20220809003546
Medical Identifiers
Medical identifiers for Dr Shaivya Pathak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821551052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | RTL19-0853 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 202201777 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vidant Medical Group Llc | 0345343893 | 847 |
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 Shaivya Pathak allows following entities to bill medicare on her behalf.
| Entity Name | Vidant Medical Group Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
|---|
| Entity Name | Outer Banks Professional Services, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
|---|
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 Shaivya Pathak 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 Shaivya Pathak, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700 | Dr Shaivya Pathak, MD 111 Hospital Dr, Tarboro, NC 27886-2011 Ph: (252) 641-7700 |
Reviews and Comments