Ms Mohini B Shukla, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Middleburg, Florida. Her current practice location is
3292 County Road 220, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 291-5561.
Ms Mohini B Shukla is licensed to practice in Florida (license number ME 73568) 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 1154506541.
Physician's Profile
Full Name | Ms Mohini B Shukla |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 3292 County Road 220, Middleburg, Florida |
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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: 1154506541
- Provider Enumeration Date: 01/03/2008
- Last Update Date: 01/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 5092797654
- Enrollment ID: I20160714000139
Medical Identifiers
Medical identifiers for Ms Mohini B Shukla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154506541 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | ME 73568 (Florida) | 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. Ms Mohini B Shukla allows following entities to bill medicare on her behalf.
Entity Name | Clackamas County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841443587 PECOS PAC ID: 9537065560 Enrollment ID: O20031210000827 |
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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. Ms Mohini B Shukla 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 |
Ms Mohini B Shukla, MD 1726 Kingsley Ave Ste 2, Orange Park, FL 32073-4411 Ph: (904) 278-5644 | Ms Mohini B Shukla, MD 3292 County Road 220, Middleburg, FL 32068-4357 Ph: (904) 291-5561 |
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