Shubha Adeni, MD is a medicare enrolled "Pediatrics" physician in Lakeway, Texas. Her current practice location is
3108 Ranch Road 620 S, Lakeway, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 654-4200.
Shubha Adeni is licensed to practice in Texas (license number L3217) 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 1578661468.
Physician's Profile
| Full Name | Shubha Adeni |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 3108 Ranch Road 620 S, Lakeway, Texas |
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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: 1578661468
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 09/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820423320
- Enrollment ID: I20200109002747
Medical Identifiers
Medical identifiers for Shubha Adeni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578661468 | NPI | - | NPPES |
| 160675802 | Medicaid | TX | |
| 160675801 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | L3217 (Texas) | 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. Shubha Adeni allows following entities to bill medicare on her behalf.
| Entity Name | Scott & White Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640 |
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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. Shubha Adeni 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 |
|---|
Shubha Adeni, MD
Po Box 844658,
Dallas, TX 75284-4658
Ph: (254) 724-8800 | Shubha Adeni, MD
3108 Ranch Road 620 S,
Lakeway, TX 78738-5635
Ph: (512) 654-4200 |
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