Kosha Shetti, PSYD - Medicare Psychologist in Dallas, TX

Kosha Shetti, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dallas, Texas. Her current practice location is 8202 Ridgelea St, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 558-7474.

Kosha Shetti is licensed to practice in Texas (license number 36139) 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 1730622739.

Contact Information

Kosha Shetti, PSYD
8202 Ridgelea St,
Dallas, TX 75209-2624
(214) 558-7474
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKosha Shetti
GenderFemale
SpecialityPsychologist - Clinical
Location8202 Ridgelea St, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730622739
  • Provider Enumeration Date: 11/22/2016
  • Last Update Date: 11/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1456635820
  • Enrollment ID: I20170302001063

Medical Identifiers

Medical identifiers for Kosha Shetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730622739NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 36139 (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. Kosha Shetti allows following entities to bill medicare on her behalf.
Entity NameDeer Oaks Geriatric Services P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134169287
PECOS PAC ID: 9234034075
Enrollment ID: O20031204000440
Entity NameMeditelecare Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942702238
PECOS PAC ID: 8325300346
Enrollment ID: O20180402001476

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. Kosha Shetti 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 AddressPractice Location Address
Kosha Shetti, PSYD
8202 Ridgelea St,
Dallas, TX 75209-2624

Ph: (214) 558-7474
Kosha Shetti, PSYD
8202 Ridgelea St,
Dallas, TX 75209-2624

Ph: (214) 558-7474

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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