Dr Shivali M Patel, MD - Medicare Family Practice in Johnson City, TN

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Dr Shivali M Patel, MD is a medicare enrolled "Family Medicine" physician in Johnson City, Tennessee. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southeastern Physician Services Pc, Ipc Pac Healthcare Services Of Tennessee Pc, Nv Pacs 2 Llc and her current practice location is 400 N State Of Franklin Rd Fl 4, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-1961.

Dr Shivali M Patel is licensed to practice in Tennessee (license number 56189) 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 1184043853.

Contact Information

Dr Shivali M Patel, MD
400 N State Of Franklin Rd Fl 4,
Johnson City, TN 37604-6035
(423) 431-1961
(423) 431-2961

Map and Direction




Physician's Profile

Full NameDr Shivali M Patel
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location400 N State Of Franklin Rd Fl 4, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. 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 Shivali M Patel graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1184043853
  • Provider Enumeration Date: 04/10/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608165923
  • Enrollment ID: I20171004002888

Medical Identifiers

Medical identifiers for Dr Shivali M Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184043853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 56189 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont HospiceBristol, TNHospice
Johnson City Medical CenterJohnson city, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Physician Services Pc0042307852529
Ipc Pac Healthcare Services Of Tennessee Pc084058757273
Nv Pacs 2 Llc0941550578124

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 Shivali M Patel allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20071025000571
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20231206003761

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 Shivali M Patel 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 Shivali M Patel, MD
Po Box 4018,
Johnson City, TN 37602-4018

Ph: (423) 282-1480		Dr Shivali M Patel, MD
400 N State Of Franklin Rd Fl 4,
Johnson City, TN 37604-6035

Ph: (423) 431-1961

Reviews and Comments


Family Medicine Doctors in Johnson City, TN

Dr. Paula Renee Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 N State Of Franklin Rd, Suite 24, Johnson City, TN 37604
Phone: 423-431-1810    Fax: 423-431-1811
David T Deroos, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 205 Summer Rose Ln, Johnson City, TN 37601
Phone: 704-658-8727    
Dr. Clinton Steve Webb, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Dr. Nazia Iqbal Shehzad, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 401 E Main St, Johnson City, TN 37601
Phone: 423-929-2584    Fax: 423-722-2060
Dr. Paige Mcclear, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 917 W Walnut St, Johnson City, TN 37604
Phone: 423-439-6464    
Janice B. Schweitzer, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 378 Marketplace Dr, Suite 5, Johnson City, TN 37604
Phone: 423-282-0751    Fax: 423-282-1577
Jim L Wilson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 917 W Walnut St, Johnson City, TN 37604
Phone: 423-439-6464    Fax: 423-439-7118

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.