Shanta Gautham, MD in Grand Forks, ND - Medicare Internal Medicine

Shanta Gautham, MD is a medicare enrolled "Internal Medicine" physician in Grand Forks, North Dakota. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Altru Health System, Altru Health System and her current practice location is 725 Hamline St - Altru Family Medicine Residency, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 780-6800.

Shanta Gautham is licensed to practice in North Dakota (license number 11672) 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 1851562375.

Contact Information

	Shanta Gautham, MD
	725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203
	(701) 780-6800
	(781) 744-5358

Map and Direction

Physician's Profile

Full Name	Shanta Gautham
Gender	Female
Speciality	Internal Medicine
Experience	17 Years
Location	725 Hamline St - Altru Family Medicine Residency, Grand Forks, North Dakota
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:

Shanta Gautham attended and graduated from University Of Missouri, Columbia School Of Medicine in 2007

NPI Data:

NPI Number: 1851562375
Provider Enumeration Date: 03/13/2008
Last Update Date: 03/05/2019

Medicare PECOS Information:

PECOS PAC ID: 9133309685
Enrollment ID: I20110215001140

Medical Identifiers

Medical identifiers for Shanta Gautham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851562375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	11672 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Altru's Home Health	Grand forks, ND	Home health agency
Altru Hospital	Grand forks, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Altru Health System	1355251604	520
Altru Health System	1355251604	520

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. Shanta Gautham allows following entities to bill medicare on her behalf.

Entity Name	Altru Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714

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. Shanta Gautham 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
Shanta Gautham, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891	Shanta Gautham, MD 725 Hamline St - Altru Family Medicine Residency, Grand Forks, ND 58203 Ph: (701) 780-6800

Reviews and Comments

Internal Medicine Doctors in Grand Forks, ND

Iqbal Masood, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Dr. Marcin Szember, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4440 S. Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7000
Antranik Mangardich, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Leslie M Klevay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Und Box 9037 Ppt, Grand Forks, ND 58201 Phone: 701-777-0000
James Rese Wood, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 South Columbia Road, Grand Forks, ND 58206 Phone: 701-780-5000 Fax: 612-870-5857
Robert A Thompson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Daniel J Walsh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000

Shanta Gautham, MD - Medicare Internal Medicine in Grand Forks, ND