Shivani Patel, PAC is a medicare enrolled "Physician Assistant - Surgical" physician in Greenfield, Wisconsin. Her current practice location is
4951 S Heritage Dr Apt V202, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 916-3012.
Shivani Patel is licensed to practice in Illinois (license number 085009563) 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 1073289799.
Physician's Profile
Full Name | Shivani Patel |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 4951 S Heritage Dr Apt V202, Greenfield, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073289799
- Provider Enumeration Date: 08/22/2021
- Last Update Date: 06/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0345606687
- Enrollment ID: I20230511003048
Medical Identifiers
Medical identifiers for Shivani Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073289799 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 085009563 (Illinois) | Secondary |
363A00000X | Physician Assistant | 085009563 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363AS0400X | Physician Assistant - Surgical | 085009563 (Illinois) | Primary |
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. Shivani 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 Address | Practice Location Address |
Shivani Patel, PAC 4951 S Heritage Dr Apt V202, Greenfield, WI 53220-5353 Ph: () - | Shivani Patel, PAC 4951 S Heritage Dr Apt V202, Greenfield, WI 53220-5353 Ph: (414) 916-3012 |
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