Dr Shivani Mangirish Gaitonde, MD in Texarkana, TX

Dr Shivani Mangirish Gaitonde, MD is a medicare enrolled "Urology" physician in Texarkana, Texas. Her current practice location is 1902 Moores Ln, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 614-3850.

Dr Shivani Mangirish Gaitonde is licensed to practice in Texas (license number V2735) 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 1962962977.

Contact Information

	Dr Shivani Mangirish Gaitonde, MD
	1902 Moores Ln, Texarkana, TX 75503-4610
	(903) 614-3850
	(903) 614-3525

Map and Direction

Physician's Profile

Full Name	Dr Shivani Mangirish Gaitonde
Gender	Female
Speciality	Urology
Location	1902 Moores Ln, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962962977
Provider Enumeration Date: 03/25/2019
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 9537607148
Enrollment ID: I20240814002122

Medical Identifiers

Medical identifiers for Dr Shivani Mangirish Gaitonde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962962977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	V2735 (Texas)	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 Shivani Mangirish Gaitonde allows following entities to bill medicare on her behalf.

Entity Name	Collom & Carney Clinic Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046

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 Shivani Mangirish Gaitonde 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 Shivani Mangirish Gaitonde, MD 1902 Moores Ln, Texarkana, TX 75503-4610 Ph: (903) 614-3850	Dr Shivani Mangirish Gaitonde, MD 1902 Moores Ln, Texarkana, TX 75503-4610 Ph: (903) 614-3850

Reviews and Comments

Urology Doctors in Texarkana, TX

Joseph Sean Womack, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Dr. Glen A Rountree, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645
Patrick J Somerville, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-614-3525
Dr. Jason T Pickelman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645
Dr. Christopher Todd Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645
Dr. Cordell L Klein, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645
Dr. George R Hunter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd, Ste 501, Texarkana, TX 75501 Phone: 903-792-7515

Dr Shivani Mangirish Gaitonde, MD - Medicare Urology in Texarkana, TX