Shantharam Pai, MD in Redlands, CA - Medicare Family Medicine

Shantharam Pai, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Redlands, California. His current practice location is 511 Amigos Dr Ste C, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 799-7111.

Shantharam Pai is licensed to practice in California (license number A442860) 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 1053317537.

Contact Information

	Shantharam Pai, MD
	511 Amigos Dr Ste C, Redlands, CA 92373-6283
	(909) 799-7111
	(909) 498-5154

Map and Direction

Physician's Profile

Full Name	Shantharam Pai
Gender	Male
Speciality	Family Medicine - Geriatric Medicine
Location	511 Amigos Dr Ste C, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053317537
Provider Enumeration Date: 06/21/2005
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8123198892
Enrollment ID: I20090928000145

Medical Identifiers

Medical identifiers for Shantharam Pai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053317537	NPI	-	NPPES
00A442860	Other	CA	BLUE SHIELD OF CA
CA131554	Other	CA	MEDICARE
00A442861	Medicaid	CA
080101190	Other	GA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QG0300X	Family Medicine - Geriatric Medicine	A442860 (California)	Primary
207Q00000X	Family Medicine	A442860 (California)	Secondary

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. Shantharam Pai allows following entities to bill medicare on his behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

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. Shantharam Pai 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
Shantharam Pai, MD 511 Amigos Dr Ste C, Redlands, CA 92373-6283 Ph: (909) 799-7111	Shantharam Pai, MD 511 Amigos Dr Ste C, Redlands, CA 92373-6283 Ph: (909) 799-7111

Reviews and Comments

Family Medicine Doctors in Redlands, CA

Salma Mohammadi Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1467 Ford St Ste 201, Redlands, CA 92373 Phone: 909-206-2612
Dr. Katrina Carter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Citrus Ave, Redlands, CA 92374 Phone: 909-794-3682
Calvin G Hagglov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600
Grace Marie Hecker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1910 Orange Tree Ln Ste 344, Redlands, CA 92374 Phone: 909-792-1388 Fax: 097-487-9259
Dr. Veena Mysore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600
Horst R Rudrich, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373 Phone: 909-793-0323 Fax: 909-793-9173

Shantharam Pai, MD - Medicare Family Medicine in Redlands, CA