Dr Shirley Y Godiwalla, MD is a medicare enrolled "General Practice" physician in Pewaukee, Wisconsin. Her current practice location is
W283n3671 Yorkshire Trce, Pewaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 695-3052.
Dr Shirley Y Godiwalla is licensed to practice in Wisconsin (license number 2697320) 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 1518929611.
Physician's Profile
Full Name | Dr Shirley Y Godiwalla |
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Gender | Female |
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Speciality | General Practice |
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Location | W283n3671 Yorkshire Trce, Pewaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518929611
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 1658383062
- Enrollment ID: I20060630000182
Medical Identifiers
Medical identifiers for Dr Shirley Y Godiwalla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518929611 | NPI | - | NPPES |
340012140 | Other | | RR MEDICARE |
31392600 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 26973 (Wisconsin) | Secondary |
208D00000X | General Practice | 2697320 (Wisconsin) | Primary |
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 Shirley Y Godiwalla 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 Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 | Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052 |
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