Shiwaji Dattatray Pawar, MD in Folsom, CA

Shiwaji Dattatray Pawar, MD is a medicare enrolled "Pediatrics" physician in Folsom, California. His current practice location is 2155 Iron Point Rd, Folsom, California. You can reach out to his office (for appointments etc.) via phone at (916) 817-5438.

Shiwaji Dattatray Pawar is licensed to practice in Michigan (license number 4301072268) 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 1225074826.

Contact Information

	Shiwaji Dattatray Pawar, MD
	2155 Iron Point Rd, Folsom, CA 95630-8707
	(916) 817-5438
	(916) 817-5415

Map and Direction

Physician's Profile

Full Name	Shiwaji Dattatray Pawar
Gender	Male
Speciality	Pediatrics
Location	2155 Iron Point Rd, Folsom, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225074826
Provider Enumeration Date: 06/21/2006
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8729002290
Enrollment ID: I20120411000298

Medical Identifiers

Medical identifiers for Shiwaji Dattatray Pawar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225074826	NPI	-	NPPES
1225074826	Medicaid	MI
200000021644	Other	MI	PHP
3502900692	Other	MI	BCBSM
4711870-10	Medicaid	MI
0990418	Other	MI	HEALTHPLUS COMMERCIAL
1014600	Other	MI	MCLAREN HEALTH PLAN
1006816	Other	MI	MCLAREN HEALTH PLAN
4306770-10	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301072268 (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. Shiwaji Dattatray Pawar allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Shiwaji Dattatray Pawar 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
Shiwaji Dattatray Pawar, MD 2155 Iron Point Rd, Folsom, CA 95630-8707 Ph: (916) 817-5438	Shiwaji Dattatray Pawar, MD 2155 Iron Point Rd, Folsom, CA 95630-8707 Ph: (916) 817-5438

Reviews and Comments

Pediatrics Doctors in Folsom, CA

Karen D. Camfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Lenore Reeva Cs Youssefi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E. Bidwell Street, Suite 250, Folsom, CA 95630 Phone: 916-817-3700 Fax: 916-817-3721
Sally J. Cullen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Mitra Choudri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5000
Dee Jay Nery Miranda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2155 Iron Point Rd, Folsom, CA 95630 Phone: 916-817-5463
Dr. Randall Claud Hepworth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 River Rock Dr, Ste 114, Folsom, CA 95630 Phone: 916-989-2086 Fax: 916-989-0367

Shiwaji Dattatray Pawar, MD - Medicare Pediatrics in Folsom, CA