Dr Lellise Taye Shewakena, MD in Virginia Beach, VA

Dr Lellise Taye Shewakena, MD is a medicare enrolled "Internal Medicine" physician in Virginia Beach, Virginia. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 1060 First Colonial Rd, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 395-8000.

Dr Lellise Taye Shewakena is licensed to practice in Virginia (license number 0101247521) 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 1336380633.

Contact Information

	Dr Lellise Taye Shewakena, MD
	1060 First Colonial Rd, Virginia Beach, VA 23454-3002
	(757) 395-8000
	(757) 340-4278

Map and Direction

Physician's Profile

Full Name	Dr Lellise Taye Shewakena
Gender	Female
Speciality	Internal Medicine
Experience	22 Years
Location	1060 First Colonial Rd, Virginia Beach, Virginia
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:

Dr Lellise Taye Shewakena graduated from medical school in 2002

NPI Data:

NPI Number: 1336380633
Provider Enumeration Date: 03/16/2009
Last Update Date: 06/13/2021

Medicare PECOS Information:

PECOS PAC ID: 3779617782
Enrollment ID: I20131021001484

Medical Identifiers

Medical identifiers for Dr Lellise Taye Shewakena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336380633	NPI	-	NPPES
1336380633	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101247521 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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 Lellise Taye Shewakena allows following entities to bill medicare on her behalf.

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Lellise Taye Shewakena 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 Lellise Taye Shewakena, MD 1890 Metro Center Dr, Reston, VA 20190-5222 Ph: (703) 709-1667	Dr Lellise Taye Shewakena, MD 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 Ph: (757) 395-8000

Reviews and Comments

Internal Medicine Doctors in Virginia Beach, VA

Haidr Agha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1157 First Colonial Rd, Ste 200, Virginia Beach, VA 23454 Phone: 757-623-0005 Fax: 757-389-5383
Howard Courtenay Harrison Sr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 First Colonial Rd, Suite 101, Virginia Beach, VA 23454 Phone: 757-496-9020 Fax: 757-481-0638
Vincent Lee, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5516 Virginia Beach Blvd, Virginia Beach, VA 23462 Phone: 757-473-3969
Dr. Sue Beth Hudson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 Newtown Rd, Virginia Beach, VA 23462 Phone: 757-497-0606 Fax: 757-497-0411
Dr. Rosario Devera Hipol, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Independence Cir Ste 102, Virginia Beach, VA 23455 Phone: 757-499-6395 Fax: 757-499-8026
Dr. Jonah Anyaogu Ulu Ezieme, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 First Colonial Rd, Virginia Beach, VA 23454 Phone: 757-395-2323 Fax: 757-827-2255
Dr. James Richard Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454 Phone: 757-395-1760 Fax: 757-756-5148

Dr Lellise Taye Shewakena, MD - Medicare Internal Medicine in Virginia Beach, VA