Dr Shama Lalani, MD - Medicare Family Medicine in Gainesville, VA

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Dr Shama Lalani, MD is a medicare enrolled "Family Medicine" physician in Gainesville, Virginia. Her current practice location is 14800 Lee Hwy, Gainesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 743-7017.

Dr Shama Lalani is licensed to practice in Virginia (license number 0101279128) 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 1144845124.

Contact Information

Dr Shama Lalani, MD
14800 Lee Hwy,
Gainesville, VA 20155-1842
(703) 743-7017
Not Available

Map and Direction




Physician's Profile

Full NameDr Shama Lalani
GenderFemale
SpecialityFamily Medicine
Location14800 Lee Hwy, Gainesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144845124
  • Provider Enumeration Date: 06/15/2020
  • Last Update Date: 09/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769837012
  • Enrollment ID: I20231006001566

Medical Identifiers

Medical identifiers for Dr Shama Lalani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144845124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0097386 (Maryland)Secondary
207Q00000XFamily Medicine 0101279128 (Virginia)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 Shama Lalani allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Shama Lalani 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 Shama Lalani, MD
6141 Saunders St Apt B25,
Rego Park, NY 11374-1021

Ph: (347) 665-6978		Dr Shama Lalani, MD
14800 Lee Hwy,
Gainesville, VA 20155-1842

Ph: (703) 743-7017

Reviews and Comments


Family Medicine Doctors in Gainesville, VA

Anum Hasan, DO
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Practice Location: 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155
Phone: 571-248-4620    Fax: 571-248-4374
Dr. Jennifer Nau, M.D.
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Practice Location: 14370 Lee Hwy, Suite 105, Gainesville, VA 20155
Phone: 703-754-4101    Fax: 703-754-1105
Dr. Jason Vanvliet Hackett, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 7915 Lake Manassas Dr Ste 102, Gainesville, VA 20155
Phone: 703-754-4101    Fax: 703-754-1105
Jocelyn Patricia Tan Serrano, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13575 Heathcote Blvd Ste 210, Gainesville, VA 20155
Phone: 571-248-4620    Fax: 571-248-4374
Dr. Victoria C Hammonds, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8180 Stonewall Shops Sq, Gainesville, VA 20155
Phone: 703-753-9799    Fax: 703-753-9792
Dr. Chung Y Woo, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14800 Lee Hwy, Gainesville, VA 20155
Phone: 703-743-7017    

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.