Shivashankar Damodaran, MD in Port Huron, MI

Shivashankar Damodaran, MD is a medicare enrolled "Urology" physician in Port Huron, Michigan. His current practice location is 2611 Electric Ave Ste E, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 216-3599.

Shivashankar Damodaran is licensed to practice in Michigan (license number 4301508337) 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 1528558277.

Contact Information

	Shivashankar Damodaran, MD
	2611 Electric Ave Ste E, Port Huron, MI 48060-6587
	(810) 216-3599
	Not Available

Map and Direction

Physician's Profile

Full Name	Shivashankar Damodaran
Gender	Male
Speciality	Urology
Location	2611 Electric Ave Ste E, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528558277
Provider Enumeration Date: 05/17/2018
Last Update Date: 05/25/2025

Medicare PECOS Information:

PECOS PAC ID: 2264781186
Enrollment ID: I20230919003815

Medical Identifiers

Medical identifiers for Shivashankar Damodaran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528558277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	4301508337 (Michigan)	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. Shivashankar Damodaran allows following entities to bill medicare on his behalf.

Entity Name	Port Huron Physicians Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598141640 PECOS PAC ID: 0840507802 Enrollment ID: O20150923002611

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. Shivashankar Damodaran 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
Shivashankar Damodaran, MD 2611 Electric Ave Ste E, Port Huron, MI 48060-6587 Ph: (810) 216-3599	Shivashankar Damodaran, MD 2611 Electric Ave Ste E, Port Huron, MI 48060-6587 Ph: (810) 216-3599

Reviews and Comments

Urology Doctors in Port Huron, MI

Mr. Haider Rahbar, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Glenn George Betrus, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Marshall Kamer, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674
Thomas Allan Coury, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1037 Water St, Suite 1, Port Huron, MI 48060 Phone: 810-984-4194 Fax: 810-984-4674

Shivashankar Damodaran, MD - Medicare Urology in Port Huron, MI