Akta Samir Shukla, CRNP is a medicare enrolled "Nurse Practitioner" in Landsale, Pennsylvania. Her current practice location is
21 S. Valley Forge Rd., Unit 100, Landsale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(267) 647-6400.
Akta Samir Shukla is licensed to practice in Pennsylvania (license number SP013594) 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 1558783340.
Provider's Profile
Full Name | Akta Samir Shukla |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 21 S. Valley Forge Rd., Landsale, Pennsylvania |
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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: 1558783340
- Provider Enumeration Date: 01/13/2014
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092945253
- Enrollment ID: I20140308000156
Medical Identifiers
Medical identifiers for Akta Samir Shukla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558783340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | SP013594 (Pennsylvania) | 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. Akta Samir Shukla allows following entities to bill medicare on her behalf.
Entity Name | Knights Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194731851 PECOS PAC ID: 5395825020 Enrollment ID: O20080107000699 |
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Entity Name | Amin Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508165150 PECOS PAC ID: 9830376532 Enrollment ID: O20110607000028 |
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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. Akta Samir Shukla 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 |
Akta Samir Shukla, CRNP 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 Ph: (267) 647-6400 | Akta Samir Shukla, CRNP 21 S. Valley Forge Rd., Unit 100, Landsale, PA 19446 Ph: (267) 647-6400 |
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