Shadi M Resheidat, MD - Medicare Family Practice in Lafayette, IN

Shadi M Resheidat, MD is a medicare enrolled "Family Medicine" physician in Lafayette, Indiana. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Unity Healthcare Llc and his current practice location is 3554 Promenade Pkwy, Suite F, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 471-9146.

Shadi M Resheidat is licensed to practice in Indiana (license number 01058532A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790895571.

Contact Information

Shadi M Resheidat, MD
3554 Promenade Pkwy, Suite F,
Lafayette, IN 47909-8418
(765) 471-9146
(765) 477-0277

Map and Direction




Physician's Profile

Full NameShadi M Resheidat
GenderMale
SpecialityFamily Practice
Experience25 Years
Location3554 Promenade Pkwy, Lafayette, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shadi M Resheidat graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1790895571
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 03/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6709813819
  • Enrollment ID: I20050720000759

Medical Identifiers

Medical identifiers for Shadi M Resheidat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790895571NPI-NPPES
000000382394OtherINANTHEM PROVIDER NUMBER
200522260MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01058532A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health LafayetteLafayette, INHospital
Franciscan Health Rensselaer, IncRensselaer, INHospital
Westminster Village - West LafayetteWest lafayette, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unity Healthcare Llc024412336276

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. Shadi M Resheidat allows following entities to bill medicare on his behalf.
Entity NameUnity Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619929098
PECOS PAC ID: 0244123362
Enrollment ID: O20040203001083

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. Shadi M Resheidat 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
Shadi M Resheidat, MD
Po Box 4699,
Lafayette, IN 47903-4699

Ph: (765) 449-2732
Shadi M Resheidat, MD
3554 Promenade Pkwy, Suite F,
Lafayette, IN 47909-8418

Ph: (765) 471-9146

Reviews and Comments


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John P Cusack, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3554 Promenade Pkwy, Suite F, Lafayette, IN 47909
Phone: 765-477-2200    Fax: 765-477-0277

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.