Shashikala Ghodake, DDS in Middletown, CT - Medicare Dentist Provider

Shashikala Ghodake, DDS is a medicare enrolled "Dentist" provider in Middletown, Connecticut. Her current practice location is 547 Main Street, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 346-3081.

Shashikala Ghodake is licensed to practice in Connecticut (license number 9306) 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 1134227663.

Contact Information

	Shashikala Ghodake, DDS
	547 Main Street, Middletown, CT 06457-2806
	(860) 346-3081
	(860) 638-1123

Healthcare Provider's Profile

Full Name	Shashikala Ghodake
Gender	Female
Speciality	Dentist
Location	547 Main Street, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134227663
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4789976127
Enrollment ID: I20160706000594

Medical Identifiers

Medical identifiers for Shashikala Ghodake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134227663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	9306 (Connecticut)	Primary

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. Shashikala Ghodake 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
Shashikala Ghodake, DDS 547 Main Street, Middletown, CT 06457-2806 Ph: (860) 346-3081	Shashikala Ghodake, DDS 547 Main Street, Middletown, CT 06457-2806 Ph: (860) 346-3081

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Dentist in Middletown, CT

Dr. Mitchell Milone, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 157 Saybrook Rd, Middletown, CT 06457 Phone: 860-346-8067 Fax: 860-358-9798
Dr. John Russo, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 535 Saybrook Rd, Middletown, CT 06457 Phone: 860-347-7497 Fax: 860-344-0522
Dr. Edward Stanley Drysgula Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 775 Washington St, Middletown, CT 06457 Phone: 860-347-6100 Fax: 860-347-3095
Z Christopher Religa, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 828 Newfield St, Middletown, CT 06457 Phone: 860-613-0553 Fax: 860-613-0206
Dr. Gillian R. Kelly, D.M.D.,M.S.D. Dentist Medicare: Medicare Enrolled Practice Location: 561 Saybrook Rd, Middletown, CT 06457 Phone: 860-346-9259 Fax: 860-346-9250
Tabrez Adil, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 675 Main St., Middletown, CT 06457 Phone: 860-347-6971

Shashikala Ghodake, DDS - Medicare Dentist in Middletown, CT