Shivani Phanse, DPM in La Mesa, CA - Medicare Podiatrist Provider

Shivani Phanse, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in La Mesa, California. Her current practice location is 5565 Grossmont Center Dr Ste 353, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (510) 371-2359.

Shivani Phanse is licensed to practice in California (license number E6018) 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 1568083046.

Contact Information

	Shivani Phanse, DPM
	5565 Grossmont Center Dr Ste 353, La Mesa, CA 91942-3027
	(510) 371-2359
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shivani Phanse
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	5565 Grossmont Center Dr Ste 353, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568083046
Provider Enumeration Date: 05/06/2020
Last Update Date: 09/29/2025

Medicare PECOS Information:

PECOS PAC ID: 2961939087
Enrollment ID: I20241231000627

Medical Identifiers

Medical identifiers for Shivani Phanse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568083046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	E6018 (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. Shivani Phanse allows following entities to bill medicare on her behalf.

Provider Name	Jeffrey Demian Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306339759 PECOS PAC ID: 4880944339 Enrollment ID: O20180905001021

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 Phanse 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 Phanse, DPM 5565 Grossmont Center Dr Ste 353, La Mesa, CA 91942-3027 Ph: (510) 371-2359	Shivani Phanse, DPM 5565 Grossmont Center Dr Ste 353, La Mesa, CA 91942-3027 Ph: (510) 371-2359

Reviews and Comments

Podiatrist in La Mesa, CA

Dr. Karen E. Anderson, Apc Podiatrist Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942 Phone: 619-440-2202 Fax: 619-440-0502
Upperline Healthcare California Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942 Phone: 619-303-7130
Upperline Healthcare California, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942 Phone: 619-303-7130
Melchior P. Vallone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5129 Garfield St, La Mesa, CA 91941 Phone: 619-465-3200 Fax: 619-465-3700
Larry Ray Kroepel, M.D. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6750
Karen E Anderson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942 Phone: 619-440-2202
Dr. Dan B Tarango, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8851 Center Dr, #201, La Mesa, CA 91942 Phone: 619-461-2990 Fax: 619-461-7959

Shivani Phanse, DPM - Medicare Podiatrist in La Mesa, CA