Juvaria Shahabuddin, MD in Kenosha, WI - Medicare Psychiatry & Neurology

Juvaria Shahabuddin, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Kenosha, Wisconsin. Her current practice location is 12225 71st St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (877) 666-7223.

Juvaria Shahabuddin is licensed to practice in Wisconsin (license number 67758) 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 1801152673.

Contact Information

	Juvaria Shahabuddin, MD
	12225 71st St, Kenosha, WI 53142-7320
	(877) 666-7223
	(262) 948-4841

Map and Direction

Physician's Profile

Full Name	Juvaria Shahabuddin
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	12225 71st St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801152673
Provider Enumeration Date: 04/05/2012
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8527333210
Enrollment ID: I20171005001930

Medical Identifiers

Medical identifiers for Juvaria Shahabuddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801152673	NPI	-	NPPES
100071395	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	67758 (Wisconsin)	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. Juvaria Shahabuddin allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Juvaria Shahabuddin 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
Juvaria Shahabuddin, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Juvaria Shahabuddin, MD 12225 71st St, Kenosha, WI 53142-7320 Ph: (877) 666-7223

Reviews and Comments

Psychiatry & Neurology Doctors in Kenosha, WI

Dr. Pushparanee Babusukumar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3535 30th Ave, Suite 201, Kenosha, WI 53144 Phone: 262-652-7813 Fax: 262-652-4450
Dr. Jimmy Viet Ninh, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7815
Dr. Mathew Sean Mccarthy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-657-1090
Dr. Saritha Kundoor, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600
Anna Klyachkina, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12225 71st St, Kenosha, WI 53142 Phone: 262-948-4870
Dr. Vanessa Q Chang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, #307, Kenosha, WI 53142 Phone: 262-948-6770
Ronald Rubin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave Ste 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379

Juvaria Shahabuddin, MD - Medicare Psychiatry & Neurology in Kenosha, WI