Shoukri Mina Wisa, MD - Medicare Internal Medicine in Batavia, NY

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Shoukri Mina Wisa, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Batavia, New York. His current practice location is 164 Washington Ave, Batavia, New York. You can reach out to his office (for appointments etc.) via phone at (585) 343-6363.

Shoukri Mina Wisa is licensed to practice in New York (license number 170527) 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 1306895370.

Contact Information

Shoukri Mina Wisa, MD
164 Washington Ave,
Batavia, NY 14020-2113
(585) 343-6363
(585) 343-1986

Map and Direction




Physician's Profile

Full NameShoukri Mina Wisa
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location164 Washington Ave, Batavia, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306895370
  • Provider Enumeration Date: 05/08/2006
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931172921
  • Enrollment ID: I20050825000355

Medical Identifiers

Medical identifiers for Shoukri Mina Wisa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306895370NPI-NPPES
01127086MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 1705271 (New York)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 170527 (New York)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. Shoukri Mina Wisa allows following entities to bill medicare on his behalf.
Entity NameRochester General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356412712
PECOS PAC ID: 0244149474
Enrollment ID: O20031121000644
Entity NameThe Unity Hospital Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760421713
PECOS PAC ID: 9436060969
Enrollment ID: O20031230000038
Entity NameUnited Memorial Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902800352
PECOS PAC ID: 0547259376
Enrollment ID: O20040507000847
Entity NameWestern New York Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063790608
PECOS PAC ID: 3870767791
Enrollment ID: O20111110000598

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. Shoukri Mina Wisa 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 AddressPractice Location Address
Shoukri Mina Wisa, MD
164 Washington Ave,
Batavia, NY 14020-2113

Ph: (585) 343-6363		Shoukri Mina Wisa, MD
164 Washington Ave,
Batavia, NY 14020-2113

Ph: (585) 343-6363

Reviews and Comments


Internal Medicine Doctors in Batavia, NY

Bruce Michael Small, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 220 Richmond Ave, Batavia, NY 14020
Phone: 585-345-2042    Fax: 585-345-0211
Bryan James Fiema, DO
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 229 Summit St Ste 10, Batavia, NY 14020
Phone: 585-442-5320    
Dr. Keun C Oh, MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 229 Summit St, Ste 1, Batavia, NY 14020
Phone: 585-343-4440    Fax: 585-343-0381
Rozy Nelofar Wani, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 229 Summit St Ste 1, Batavia, NY 14020
Phone: 585-343-4440    Fax: 585-343-0381
Dr. Qiu Jun Tong, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 229 Summit St Ste 10, Batavia, NY 14020
Phone: 585-442-5320    
Dr. Brenda D Bailey, M.D.
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 4250 Federal Dr, Immigration Health Services, Bfdf, Batavia, NY 14020
Phone: 585-344-5151    Fax: 585-345-1896

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.