Shivani D Thaker, PA-C is a medicare enrolled "Physician Assistant" in South Amboy, New Jersey. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
963 Us Highway 9, South Amboy, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 952-3627.
Shivani D Thaker is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1922667146.
Provider's Profile
| Full Name | Shivani D Thaker |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 7 Years |
|---|
| Location | 963 Us Highway 9, South Amboy, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shivani D Thaker graduated from nursing school in 2019
NPI Data:
- NPI Number: 1922667146
- Provider Enumeration Date: 06/11/2019
- Last Update Date: 10/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981933868
- Enrollment ID: I20190903002221
Medical Identifiers
Medical identifiers for Shivani D Thaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922667146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Shivani D Thaker allows following entities to bill medicare on her behalf.
| Entity Name | Nes Georgia Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043616675 PECOS PAC ID: 0345210001 Enrollment ID: O20150108000814 |
|---|
| Entity Name | Emergency Associates of St Marys LLC |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477063329 PECOS PAC ID: 4183982663 Enrollment ID: O20171212000887 |
|---|
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. Shivani D Thaker 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 |
Shivani D Thaker, PA-C 963 Us Highway 9, South Amboy, NJ 08879-3302 Ph: (732) 952-3627 | Shivani D Thaker, PA-C 963 Us Highway 9, South Amboy, NJ 08879-3302 Ph: (732) 952-3627 |
Reviews and Comments