Shruti Javali, in Grand Rapids, MI - Medicare Family Medicine

Shruti Javali, is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. Her current practice location is 300 Lafayette Ave Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-6922.

Shruti Javali is licensed to practice in California (license number 169683) 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 1073035440.

Contact Information

	Shruti Javali,
	300 Lafayette Ave Se, Grand Rapids, MI 49503
	(616) 685-6922
	Not Available

Map and Direction

Physician's Profile

Full Name	Shruti Javali
Gender	Female
Speciality	Family Medicine
Location	300 Lafayette Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073035440
Provider Enumeration Date: 07/07/2017
Last Update Date: 09/17/2020

Medicare PECOS Information:

PECOS PAC ID: 5991076408
Enrollment ID: I20200924001588

Medical Identifiers

Medical identifiers for Shruti Javali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073035440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4351027611 (Michigan)	Secondary
207Q00000X	Family Medicine	4301113402 (Michigan)	Secondary
207Q00000X	Family Medicine	169683 (California)	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. Shruti Javali allows following entities to bill medicare on her behalf.

Entity Name	Galen Inpatient Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

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. Shruti Javali 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
Shruti Javali, 300 S Leon S Peters Blvd, Fowler, CA 93625-2538 Ph: () -	Shruti Javali, 300 Lafayette Ave Se, Grand Rapids, MI 49503 Ph: (616) 685-6922

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
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Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2335 Burton St Se Ste 130, Grand Rapids, MI 49506 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Shruti Javali, - Medicare Family Medicine in Grand Rapids, MI