Sampurna Shakya, MD in Ashtabula, OH

Sampurna Shakya, MD is a medicare enrolled "Pediatrics" physician in Ashtabula, Ohio. His current practice location is 2422 Lake Ave, Ashtabula, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 997-6980.

Sampurna Shakya is licensed to practice in Ohio (license number 35.139245) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992238984.

Contact Information

	Sampurna Shakya, MD
	2422 Lake Ave, Ashtabula, OH 44004-4985
	(440) 997-6980
	(440) 994-7514

Map and Direction

Physician's Profile

Full Name	Sampurna Shakya
Gender	Male
Speciality	Pediatrics
Location	2422 Lake Ave, Ashtabula, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992238984
Provider Enumeration Date: 04/06/2017
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 1557633070
Enrollment ID: I20200717001689

Medical Identifiers

Medical identifiers for Sampurna Shakya such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992238984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.139245 (Ohio)	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. Sampurna Shakya allows following entities to bill medicare on his behalf.

Entity Name	Ashtabula County Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897

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. Sampurna Shakya 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
Sampurna Shakya, MD 2422 Lake Ave, Ashtabula, OH 44004-4985 Ph: (440) 997-6980	Sampurna Shakya, MD 2422 Lake Ave, Ashtabula, OH 44004-4985 Ph: (440) 997-6980

Reviews and Comments

Pediatrics Doctors in Ashtabula, OH

Doris P. Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-4422
Padmaja Chilukoti, MBBS, DGO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-6980
Dr. Douglas Carlisle Fleck, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004 Phone: 440-964-8387
Reham E El Gammal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-992-4422 Fax: 440-997-6507
Kade N Raghupathy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1527 W 19th St, Ashtabula, OH 44004 Phone: 440-964-8387 Fax: 440-964-2742
Kaveripaatum C Nagaprakash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1527 W 19th St, Ashtabula, OH 44004 Phone: 216-383-0100 Fax: 216-383-6481
Madison Lepore, PNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 416 W 27th St, Ashtabula, OH 44004 Phone: 440-641-0004

Sampurna Shakya, MD - Medicare Pediatrics in Ashtabula, OH