Dr Makondo Shimukowa, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Delmar, Delaware. 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 Tidalhealth Specialty Care Llc, Tidalhealth Physician Network, Inc. and her current practice location is
38552 Sussex Hwy, Delmar, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 846-0618.
Dr Makondo Shimukowa is licensed to practice in Delaware (license number C1-0024523) 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 1730389982.
Physician's Profile
Full Name | Dr Makondo Shimukowa |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 22 Years |
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Location | 38552 Sussex Hwy, Delmar, Delaware |
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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 Makondo Shimukowa graduated from medical school in 2002
NPI Data:
- NPI Number: 1730389982
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002970332
- Enrollment ID: I20210203002852
Medical Identifiers
Medical identifiers for Dr Makondo Shimukowa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730389982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2010-00305 (North Carolina) | Secondary |
207R00000X | Internal Medicine | D91162 (Maryland) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | D91162 (Maryland) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | C1-0024523 (Delaware) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Tidalhealth Specialty Care Llc | 7113340845 | 192 |
Tidalhealth Physician Network, Inc. | 7315901253 | 73 |
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 Makondo Shimukowa allows following entities to bill medicare on her behalf.
Entity Name | Tidalhealth Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104453208 PECOS PAC ID: 7911320635 Enrollment ID: O20200714000016 |
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Entity Name | Tidalhealth Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
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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 Makondo Shimukowa 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 Makondo Shimukowa, MD 100 E Carroll St, Salisbury, MD 21801-5422 Ph: (410) 546-6400 | Dr Makondo Shimukowa, MD 38552 Sussex Hwy, Delmar, DE 19940-3596 Ph: (302) 846-0618 |
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