Shivam Patel, is a medicare enrolled "Anesthesiologist Assistant" physician in Miami, Florida. His current practice location is
3663 S Miami Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 854-4400.
Shivam Patel is licensed to practice in Florida (license number AA836) 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 1871370965.
Physician's Profile
| Full Name | Shivam Patel |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 3663 S Miami Ave, Miami, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871370965
- Provider Enumeration Date: 09/12/2023
- Last Update Date: 10/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638527765
- Enrollment ID: I20231129002427
Medical Identifiers
Medical identifiers for Shivam Patel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871370965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | AA836 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA836 (Florida) | 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. Shivam Patel allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104248699
PECOS PAC ID: 4688805286
Enrollment ID: O20140325000665 |
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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. Shivam Patel 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 |
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Shivam Patel,
510 Madeira Ave,
Coral Gables, FL 33134-4237
Ph: (305) 766-5485 | Shivam Patel,
3663 S Miami Ave,
Miami, FL 33133-4253
Ph: (305) 854-4400 |
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