Dr Divya Shakti, MD - Medicare Pediatrics in Jackson, MS

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Dr Divya Shakti, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Jackson, Mississippi. Her current practice location is 2500 North State Street, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-5250.

Dr Divya Shakti is licensed to practice in Mississippi (license number 23419) 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 1659559300.

Contact Information

Dr Divya Shakti, MD
2500 North State Street,
Jackson, MS 39216
(601) 984-5250
Not Available

Map and Direction




Physician's Profile

Full NameDr Divya Shakti
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location2500 North State Street, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659559300
  • Provider Enumeration Date: 02/05/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234350430
  • Enrollment ID: I20141030002358

Medical Identifiers

Medical identifiers for Dr Divya Shakti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659559300NPI-NPPES
998912OtherMIDMC EMPLOYEE ID NUMBER
05487537MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301090267 (Michigan)Secondary
2080P0202XPediatrics - Pediatric Cardiology 23419 (Mississippi)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 Divya Shakti allows following entities to bill medicare on her behalf.
Entity NameRush Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588625594
PECOS PAC ID: 2567368541
Enrollment ID: O20031210000541
Entity NameLaird Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821046798
PECOS PAC ID: 7214991769
Enrollment ID: O20050201000304
Entity NameScott Regional Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639367188
PECOS PAC ID: 0648366260
Enrollment ID: O20080423000448
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396
Entity NameKemper Cah, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346546306
PECOS PAC ID: 5991985012
Enrollment ID: O20110622000294

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 Divya Shakti 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 Divya Shakti, MD
2500 North State Street,
Jackson, MS 39216

Ph: (601) 984-5250		Dr Divya Shakti, MD
2500 North State Street,
Jackson, MS 39216

Ph: (601) 984-5250

Reviews and Comments


Pediatrics Doctors in Jackson, MS

Lauren K Tucker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5260    Fax: 601-984-2652
Kavipriya Komeswaran,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-2005    Fax: 601-815-0434
Emily S Weber, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-4520    Fax: 601-984-5982
Mr. Marcelo Eduardo Rains, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216
Phone: 601-984-1000    
Logan Sears Havard, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Dr. Eva Mae Henderson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213
Phone: 601-709-5150    Fax: 601-709-5151
Sitesh Ranen Roy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5249    

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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.

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