Shobha A Chottera, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wall, New Jersey. Her current practice location is
3350 Highway 138, Autumn Ridge Office Park Bld # 2 Suite 128, Wall, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 280-8850.
Shobha A Chottera is licensed to practice in New Jersey (license number MA057495) 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 1962579466.
Physician's Profile
| Full Name | Shobha A Chottera |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 3350 Highway 138, Wall, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962579466
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5294703955
- Enrollment ID: I20040921000091
Medical Identifiers
Medical identifiers for Shobha A Chottera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962579466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MA057495 (New Jersey) | 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. Shobha A Chottera allows following entities to bill medicare on her behalf.
| Entity Name | Barnabas Health Medical Group, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447206420
PECOS PAC ID: 0648172809
Enrollment ID: O20040127000361 |
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| Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154379626
PECOS PAC ID: 0446272298
Enrollment ID: O20060109000000 |
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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. Shobha A Chottera 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 |
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Shobha A Chottera, MD
3350 Highway 138, Autumn Ridge Office Park Bld # 2 Suite 128,
Wall, NJ 07719
Ph: (732) 280-8850 | Shobha A Chottera, MD
3350 Highway 138, Autumn Ridge Office Park Bld # 2 Suite 128,
Wall, NJ 07719
Ph: (732) 280-8850 |
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