Dr Shalini Sethi, MD - Medicare Family Medicine in Cranbury, NJ

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Dr Shalini Sethi, MD is a medicare enrolled "Family Medicine" physician in Cranbury, New Jersey. Her current practice location is 184 Plainsboro Rd, Cranbury, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 655-1269.

Dr Shalini Sethi is licensed to practice in New Jersey (license number 25MA09153500) 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 1861747438.

Contact Information

Dr Shalini Sethi, MD
184 Plainsboro Rd,
Cranbury, NJ 08512-2605
(609) 655-1269
Not Available

Map and Direction




Physician's Profile

Full NameDr Shalini Sethi
GenderFemale
SpecialityFamily Medicine
Location184 Plainsboro Rd, Cranbury, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861747438
  • Provider Enumeration Date: 07/19/2012
  • Last Update Date: 03/14/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4789820077
  • Enrollment ID: I20130410000541

Medical Identifiers

Medical identifiers for Dr Shalini Sethi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861747438NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25MA09153500 (New Jersey)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 Shalini Sethi allows following entities to bill medicare on her behalf.
Entity NameOptum Medical Care Of New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129
Entity NameMedexpress Urgent Care - New Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205183894
PECOS PAC ID: 6103076526
Enrollment ID: O20121022000045
Entity NameCentral Jersey Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316285091
PECOS PAC ID: 7618114323
Enrollment ID: O20130516000050
Entity NameBrowne Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851733349
PECOS PAC ID: 9032347281
Enrollment ID: O20140114001594
Entity NameAll Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093208266
PECOS PAC ID: 3072864610
Enrollment ID: O20231010003330

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 Shalini Sethi 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 Shalini Sethi, MD
184 Plainsboro Rd,
Cranbury, NJ 08512-2605

Ph: () -		Dr Shalini Sethi, MD
184 Plainsboro Rd,
Cranbury, NJ 08512-2605

Ph: (609) 655-1269

Reviews and Comments


Family Medicine Doctors in Cranbury, NJ


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.