Shanthini Ambrose Daniel, MD is a medicare enrolled "Pediatrics" physician in White Pigeon, Michigan. Her current practice location is
119 S Kalamazoo St, White Pigeon, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 483-7624.
Shanthini Ambrose Daniel is licensed to practice in Michigan (license number 4301041793) 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 1255313508.
Physician's Profile
Full Name | Shanthini Ambrose Daniel |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 119 S Kalamazoo St, White Pigeon, Michigan |
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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: 1255313508
- Provider Enumeration Date: 11/14/2005
- Last Update Date: 02/26/2010
Medicare PECOS Information:
- PECOS PAC ID: 3779779798
- Enrollment ID: I20101201001349
Medical Identifiers
Medical identifiers for Shanthini Ambrose Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255313508 | NPI | - | NPPES |
4262684 10 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 4301041793 (Michigan) | 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. Shanthini Ambrose Daniel allows following entities to bill medicare on her behalf.
Entity Name | Family Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
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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. Shanthini Ambrose Daniel 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 |
Shanthini Ambrose Daniel, MD 711 S Health Pkwy, Suite L-7, Three Rivers, MI 49093-9387 Ph: (269) 273-9723 | Shanthini Ambrose Daniel, MD 119 S Kalamazoo St, White Pigeon, MI 49099-8149 Ph: (269) 483-7624 |
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