Shujera Bhutta, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Valhalla, New York. Her current practice location is
100 Woods Rd, Valhalla, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 493-7000.
Shujera Bhutta is licensed to practice in New York (license number ) 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 1316357957.
Physician's Profile
| Full Name | Shujera Bhutta |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 100 Woods Rd, Valhalla, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316357957
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971819756
- Enrollment ID: I20150825004973
Medical Identifiers
Medical identifiers for Shujera Bhutta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316357957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 49438 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Shujera Bhutta allows following entities to bill medicare on her behalf.
| Entity Name | Southeastern Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20090715000150 |
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| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922401611 PECOS PAC ID: 5597867184 Enrollment ID: O20150219000942 |
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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. Shujera Bhutta 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 |
Shujera Bhutta, MD 100 Woods Rd, Valhalla, NY 10595-1530 Ph: (914) 493-7000 | Shujera Bhutta, MD 100 Woods Rd, Valhalla, NY 10595-1530 Ph: (914) 493-7000 |
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