Shivan Shetty, DO in Kirkwood, MO - Medicare Internal Medicine

Shivan Shetty, DO is a medicare enrolled "Internal Medicine" physician in Kirkwood, Missouri. His current practice location is 1001 S Kirkwood Rd Ste 300, Kirkwood, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-4225.

Shivan Shetty is licensed to practice in Missouri (license number 2024002469) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508446196.

Contact Information

	Shivan Shetty, DO
	1001 S Kirkwood Rd Ste 300, Kirkwood, MO 63122-7250
	(314) 525-4225
	Not Available

Map and Direction

Physician's Profile

Full Name	Shivan Shetty
Gender	Male
Speciality	Internal Medicine
Location	1001 S Kirkwood Rd Ste 300, Kirkwood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508446196
Provider Enumeration Date: 04/09/2021
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0749720662
Enrollment ID: I20240906000564

Medical Identifiers

Medical identifiers for Shivan Shetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508446196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2024002469 (Missouri)	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. Shivan Shetty allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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. Shivan Shetty 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
Shivan Shetty, DO Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 525-4225	Shivan Shetty, DO 1001 S Kirkwood Rd Ste 300, Kirkwood, MO 63122-7250 Ph: (314) 525-4225

Reviews and Comments

Internal Medicine Doctors in Kirkwood, MO

Savitri Jain, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-996-1500 Fax: 314-966-1681
Ramakrishna Prasad Vallurupalli, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681
Richard Muchnick, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Country Club Ter, Kirkwood, MO 63122 Phone: 314-420-2631
William W Sullivan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681
Rajesh Swaminathan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500
Leslie B Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Couch Ave, Kirkwood, MO 63122 Phone: 314-966-1500 Fax: 314-966-1681

Shivan Shetty, DO - Medicare Internal Medicine in Kirkwood, MO