Dr Diane Iragena Shumbusho, MD - Medicare Obstetrics & Gynecology in Watertown, NY

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Dr Diane Iragena Shumbusho, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Watertown, New York. Her current practice location is 1575 Washington St, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (315) 785-4155.

Dr Diane Iragena Shumbusho is licensed to practice in New York (license number 328335) 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 1457708802.

Contact Information

Dr Diane Iragena Shumbusho, MD
1575 Washington St,
Watertown, NY 13601-9371
(315) 785-4155
(315) 779-5066

Map and Direction




Physician's Profile

Full NameDr Diane Iragena Shumbusho
GenderFemale
SpecialityObstetrics & Gynecology
Location1575 Washington St, Watertown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457708802
  • Provider Enumeration Date: 05/16/2016
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991146847
  • Enrollment ID: I20240509003470

Medical Identifiers

Medical identifiers for Dr Diane Iragena Shumbusho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457708802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 0101264178 (Virginia)Secondary
207V00000XObstetrics & Gynecology 328335 (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. Dr Diane Iragena Shumbusho allows following entities to bill medicare on her behalf.
Entity NameSamaritan Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598713745
PECOS PAC ID: 8123914876
Enrollment ID: O20040227000525

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. Dr Diane Iragena Shumbusho 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
Dr Diane Iragena Shumbusho, MD
1575 Washington St,
Watertown, NY 13601-9371

Ph: (315) 785-4155		Dr Diane Iragena Shumbusho, MD
1575 Washington St,
Watertown, NY 13601-9371

Ph: (315) 785-4155

Reviews and Comments


Obstetrics & Gynecology Doctors in Watertown, NY

Joyce W. Buckley, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 428 Washington St, Watertown, NY 13601
Phone: 315-788-0202    
Heather Irobunda, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 826 Washington St, Watertown, NY 13601
Phone: 315-785-4624    
Elliott S Cohen, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 622 Washington Street, Watertown, NY 13601
Phone: 315-788-2003    Fax: 315-788-7087
Everett Darryl Barnes, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 428 Washington St, Watertown, NY 13601
Phone: 315-788-0202    Fax: 315-788-4176
Macy Vanarnam, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1575 Washington St, Watertown, NY 13601
Phone: 315-785-4155    Fax: 315-779-5066
Walter Dodard, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 622 Washington St, Watertown, NY 13601
Phone: 315-788-2003    Fax: 315-788-7087

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.