Shifali Shrivastava, MS, MD in Kingman, AZ

Shifali Shrivastava, MS, MD is a medicare enrolled "Family Medicine" physician in Kingman, Arizona. Her current practice location is 3269 N Stockton Hill Rd, Kingman, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 757-2101.

Shifali Shrivastava is licensed to practice in Arizona (license number 74612) 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 1730718669.

Contact Information

	Shifali Shrivastava, MS, MD
	3269 N Stockton Hill Rd, Kingman, AZ 86409-3619
	(928) 757-2101
	Not Available

Map and Direction

Physician's Profile

Full Name	Shifali Shrivastava
Gender	Female
Speciality	Family Medicine
Location	3269 N Stockton Hill Rd, Kingman, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730718669
Provider Enumeration Date: 04/03/2020
Last Update Date: 11/22/2024

Medicare PECOS Information:

PECOS PAC ID: 2668835380
Enrollment ID: I20230829002040

Medical Identifiers

Medical identifiers for Shifali Shrivastava such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730718669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	74612 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Shifali Shrivastava allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

Entity Name	Pih Health Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609233899 PECOS PAC ID: 8426951328 Enrollment ID: O20040128001177

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. Shifali Shrivastava 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
Shifali Shrivastava, MS, MD 6908 Glen Landing Ave, Las Vegas, NV 89130-4908 Ph: (702) 321-5526	Shifali Shrivastava, MS, MD 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101

Reviews and Comments

Family Medicine Doctors in Kingman, AZ

Ashley Marie Eyer, Family Medicine Medicare: Medicare Enrolled Practice Location: 2668 Hualapai Mountain Rd, Kingman, AZ 86401 Phone: 928-718-7300
Ms. Juvy Escalante, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101
Ted Edward Zegarra, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86409 Phone: 928-692-3456 Fax: 928-692-7071
Matthew Bell, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-681-8701
Dr. Kenneth Douglas Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1739 E Beverly Ave, Suite 201, Kingman, AZ 86401 Phone: 928-692-3456 Fax: 928-692-7071
Karleen Carol Adams, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-263-4722 Fax: 928-263-4794
Kirsten Mortenson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3636 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-4398 Fax: 928-757-7224

Shifali Shrivastava, MS, MD - Medicare Family Medicine in Kingman, AZ