Madhu B Shetti, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in San Pablo, California. Her current practice location is
2000 Vale Rd, Doctors Medical Center - Cancer Center, San Pablo, California. You can reach out to her office (for appointments etc.) via phone at
(313) 871-9346.
Madhu B Shetti is licensed to practice in California (license number A114733) 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 1780885517.
Physician's Profile
| Full Name | Madhu B Shetti |
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| Gender | Female |
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| Speciality | Radiology - Radiation Oncology |
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| Location | 2000 Vale Rd, San Pablo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780885517
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 02/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113184375
- Enrollment ID: I20120131000723
Medical Identifiers
Medical identifiers for Madhu B Shetti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780885517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301087455 (Michigan) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | A114733 (California) | 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. Madhu B Shetti allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Epic Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780107797
PECOS PAC ID: 5890053094
Enrollment ID: O20171215002809 |
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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. Madhu B Shetti 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 |
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Madhu B Shetti, MD
54 Stalybridge St,
Sugar Land, TX 77479-2958
Ph: () - | Madhu B Shetti, MD
2000 Vale Rd, Doctors Medical Center - Cancer Center,
San Pablo, CA 94806-3808
Ph: (313) 871-9346 |
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