Shangeetha Balakumar, MD - Medicare Family Practice in Marietta, GA

Shangeetha Balakumar, MD is a medicare enrolled "Family Medicine" physician in Marietta, Georgia. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Iora Health Georgia Pc and her current practice location is 280 Cobb Pkwy S Ste 60, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 820-7373.

Shangeetha Balakumar is licensed to practice in Georgia (license number 83851) 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 1720116452.

Contact Information

Shangeetha Balakumar, MD
280 Cobb Pkwy S Ste 60,
Marietta, GA 30060-6531
(678) 820-7373
Not Available

Map and Direction




Physician's Profile

Full NameShangeetha Balakumar
GenderFemale
SpecialityFamily Practice
Experience19 Years
Location280 Cobb Pkwy S Ste 60, Marietta, Georgia
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:
  • Shangeetha Balakumar graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1720116452
  • Provider Enumeration Date: 03/02/2007
  • Last Update Date: 04/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527192053
  • Enrollment ID: I20191209000067

Medical Identifiers

Medical identifiers for Shangeetha Balakumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720116452NPI-NPPES
002442900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME105139 (Florida)Secondary
207Q00000XFamily Medicine LL28993 (South Carolina)Secondary
207Q00000XFamily Medicine 83851 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital
Northside HospitalAtlanta, GAHospital
Wellstar Paulding HospitalHiram, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iora Health Georgia Pc185064439431

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. Shangeetha Balakumar allows following entities to bill medicare on her behalf.
Entity NameIora Senior Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518446194
PECOS PAC ID: 0143520189
Enrollment ID: O20181029003060
Entity NameIora Health Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457846727
PECOS PAC ID: 1850644394
Enrollment ID: O20181030001712

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. Shangeetha Balakumar 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
Shangeetha Balakumar, MD
280 Cobb Pkwy S Ste 60,
Marietta, GA 30060-6531

Ph: (678) 820-7373
Shangeetha Balakumar, MD
280 Cobb Pkwy S Ste 60,
Marietta, GA 30060-6531

Ph: (678) 820-7373

Reviews and Comments


Family Medicine Doctors in Marietta, GA

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Dr. Harvey David Braunfeld, M.D.
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Dr. Miles Eli Brett, M.D.
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Practice Location: 2520 Windy Hill Rd Se, Suite 301, Marietta, GA 30067
Phone: 770-952-1032    Fax: 770-952-8579

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.