Shelly Gupta, MD in Sheboygan, WI - Medicare Critical Care (intensivists)

Shelly Gupta, MD is a medicare enrolled "Internal Medicine" physician in Sheboygan, Wisconsin. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Critical Care (intensivists). She is a member of the group practice St. Nicholas Hospital-sisters Of The Third Order Of St Francis and her current practice location is 3100 Superior Ave, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Shelly Gupta is licensed to practice in Wisconsin (license number 65095-20) 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 1285075481.

Contact Information

	Shelly Gupta, MD
	3100 Superior Ave, Sheboygan, WI 53081-1948
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Shelly Gupta
Gender	Female
Speciality	Critical Care (intensivists)
Experience	12 Years
Location	3100 Superior Ave, Sheboygan, Wisconsin
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:

Shelly Gupta graduated from medical school in 2012

NPI Data:

NPI Number: 1285075481
Provider Enumeration Date: 07/16/2013
Last Update Date: 04/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1850687096
Enrollment ID: I20160914001151

Medical Identifiers

Medical identifiers for Shelly Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285075481	NPI	-	NPPES
100060733	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	65095-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	8325931652	151

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. Shelly Gupta allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Clare Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Shelly Gupta 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
Shelly Gupta, MD Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 496-4700	Shelly Gupta, MD 3100 Superior Ave, Sheboygan, WI 53081-1948 Ph: (920) 496-4700

Reviews and Comments

Internal Medicine Doctors in Sheboygan, WI

Gurminder Dhillon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 816-404-0003
Dr. Philip M. Detrana, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Dr. Louie Coulis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-458-9800 Fax: 920-458-9882
Mr. Muhammad Rasheed Khan Orakzai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100
Mr. Vinicius Klee Lopes, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Sree Ramya Punukollu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100
Dr. Rachael Bree Hosein, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461

Shelly Gupta, MD - Medicare Critical Care (intensivists) in Sheboygan, WI