Mrs Jetal Shukla, NP in Cary, NC - Medicare Nurse Practitioner

Mrs Jetal Shukla, NP is a medicare enrolled "Nurse Practitioner - Family" in Cary, North Carolina. Her current practice location is 431 Keisler Dr Ste 100, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 468-6820.

Mrs Jetal Shukla is licensed to practice in North Carolina (license number 5007179) 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 1467854224.

Contact Information

	Mrs Jetal Shukla, NP
	431 Keisler Dr Ste 100, Cary, NC 27518-7064
	(919) 468-6820
	(919) 468-6484

Map and Direction

Provider's Profile

Full Name	Mrs Jetal Shukla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	431 Keisler Dr Ste 100, Cary, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467854224
Provider Enumeration Date: 09/23/2014
Last Update Date: 08/04/2020

Medicare PECOS Information:

PECOS PAC ID: 6204154628
Enrollment ID: I20150415002118

Medical Identifiers

Medical identifiers for Mrs Jetal Shukla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467854224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5007179 (North Carolina)	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. Mrs Jetal Shukla allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

Entity Name	Onsite Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656

Entity Name	Lifesource Prime Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598533275 PECOS PAC ID: 7810336385 Enrollment ID: O20240416003922

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. Mrs Jetal 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
Mrs Jetal Shukla, NP 431 Keisler Dr Ste 100, Cary, NC 27518-7064 Ph: (919) 468-6820	Mrs Jetal Shukla, NP 431 Keisler Dr Ste 100, Cary, NC 27518-7064 Ph: (919) 468-6820

Reviews and Comments

Nurse Practitioner Nurses in Cary, NC

Charity Grant Mcdaniel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Westover Hills Dr, Cary, NC 27513 Phone: 501-266-4317
Kathryn V Banks, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Ridge View Dr, Cary, NC 27511 Phone: 919-467-5543
Stephanie Evette Kilburn, DNP, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Crescent Grn Ste 102, Cary, NC 27518 Phone: 919-897-5999
Mrs. Mary Elizabeth Simmons-sherlock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6460
Dr. Mariah Laliberte Carey, DNP, BSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 Sw Cary Pkwy Ste 200, Cary, NC 27511 Phone: 919-387-3176
Patricia Brown-prestia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 New Waverly Pl, Suite 200, Cary, NC 27518 Phone: 919-467-5941 Fax: 919-655-0532
Mrs. Kimberly Rae Stalnaker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Brady Ct, Cary, NC 27511 Phone: 919-526-0558 Fax: 910-967-6084

Mrs Jetal Shukla, NP - Medicare Nurse Practitioner in Cary, NC