Dr Lata R Shukla, MD in Evansville, IN

Dr Lata R Shukla, MD is a medicare enrolled "Pediatrics" physician in Evansville, Indiana. Her current practice location is 7220 E Virginia St, Evansville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 473-8986.

Dr Lata R Shukla is licensed to practice in Indiana (license number 01052377A) 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 1144269044.

Contact Information

	Dr Lata R Shukla, MD
	7220 E Virginia St, Evansville, IN 47715-4068
	(812) 473-8986
	(812) 471-6692

Map and Direction

Physician's Profile

Full Name	Dr Lata R Shukla
Gender	Female
Speciality	Pediatrics
Location	7220 E Virginia St, Evansville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144269044
Provider Enumeration Date: 06/06/2006
Last Update Date: 08/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1052559481
Enrollment ID: I20130524000389

Medical Identifiers

Medical identifiers for Dr Lata R Shukla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144269044	NPI	-	NPPES
200319540	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01052377A (Indiana)	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 Lata R Shukla allows following entities to bill medicare on her behalf.

Entity Name	St Marys Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275

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 Lata R Shukla 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
Dr Lata R Shukla, MD 7220 E Virginia St, Evansville, IN 47715-4068 Ph: () -	Dr Lata R Shukla, MD 7220 E Virginia St, Evansville, IN 47715-4068 Ph: (812) 473-8986

Reviews and Comments

Pediatrics Doctors in Evansville, IN

Dr. Mohammad I Hussain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 St Marys Dr, Suite 203 E, Evansville, IN 47714 Phone: 812-479-8566
Dr. Carol Lynn Berseth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 401 Park Plaza Dr, Evansville, IN 47715 Phone: 812-471-8984
William Selby, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 7220 E Virginia St, Evansville, IN 47715 Phone: 812-473-8986
Jason R Wiles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000
Douglas S Palmenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1231 Washington Square, Evansville, IN 47715 Phone: 812-479-6907 Fax: 812-479-6967
Richard Cleavelin Probert, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 W Division St, Suite 400 West, Evansville, IN 47710 Phone: 812-436-4501 Fax: 812-436-4510

Dr Lata R Shukla, MD - Medicare Pediatrics in Evansville, IN