Pavani Thotakura Shah, MD in Greenville, SC - Medicare Diagnostic Radiology

Pavani Thotakura Shah, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greenville, South Carolina. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Prisma Health University Medical Group and her current practice location is 1210 W Faris Rd, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 522-1800.

Pavani Thotakura Shah is licensed to practice in South Carolina (license number 82380) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689920464.

Contact Information

	Pavani Thotakura Shah, MD
	1210 W Faris Rd, Greenville, SC 29605-4444
	(864) 522-1800
	(864) 522-1806

Map and Direction

Physician's Profile

Full Name	Pavani Thotakura Shah
Gender	Female
Speciality	Diagnostic Radiology
Experience	12 Years
Location	1210 W Faris Rd, Greenville, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pavani Thotakura Shah graduated from medical school in 2012

NPI Data:

NPI Number: 1689920464
Provider Enumeration Date: 07/30/2012
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4587974340
Enrollment ID: I20191003000880

Medical Identifiers

Medical identifiers for Pavani Thotakura Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689920464	NPI	-	NPPES
10118Q	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.060992 (Illinois)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2017-01250 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	82380 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Patewood Hospital	Greenville, SC	Hospital
Prisma Health Hillcrest Hospital	Simpsonville, SC	Hospital
Prisma Health Greenville Memorial Hospital	Greenville, SC	Hospital
Prisma Health Greer Memorial Hospital	Greer, SC	Hospital
Ghs Laurens County Memorial Hospital	Clinton, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2206

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. Pavani Thotakura Shah allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730786096 PECOS PAC ID: 8325950983 Enrollment ID: O20201029000932

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. Pavani Thotakura Shah 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
Pavani Thotakura Shah, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Pavani Thotakura Shah, MD 1210 W Faris Rd, Greenville, SC 29605-4444 Ph: (864) 522-1800

Reviews and Comments

Radiology Doctors in Greenville, SC

Bonnie Louise Anderson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-295-4410 Fax: 864-295-5694
Dr. Douglas Middleton Bull, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806
Dr. Mark R Jackson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr, Suite 330, Greenville, SC 29601 Phone: 864-255-1834 Fax: 864-255-1836
Dr. Michael Franklin Brinkley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806
Matthew Timothy Graham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr Ste 360, Greenville, SC 29601 Phone: 864-233-4349 Fax: 877-417-0311
Dr. Michael David Zurenko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 International Dr, Greenville, SC 29615 Phone: 864-987-7000 Fax: 864-987-7020
Leighton Chase Allen Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806

Pavani Thotakura Shah, MD - Medicare Diagnostic Radiology in Greenville, SC