Dr Shirley Y Godiwalla, MD in Pewaukee, WI - Medicare General Practice

Dr Shirley Y Godiwalla, MD is a medicare enrolled "General Practice" physician in Pewaukee, Wisconsin. Her current practice location is W283n3671 Yorkshire Trce, Pewaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 695-3052.

Dr Shirley Y Godiwalla is licensed to practice in Wisconsin (license number 2697320) 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 1518929611.

Contact Information

	Dr Shirley Y Godiwalla, MD
	W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311
	(262) 695-3052
	Not Available

Physician's Profile

Full Name	Dr Shirley Y Godiwalla
Gender	Female
Speciality	General Practice
Location	W283n3671 Yorkshire Trce, Pewaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518929611
Provider Enumeration Date: 04/04/2006
Last Update Date: 06/25/2021

Medicare PECOS Information:

PECOS PAC ID: 1658383062
Enrollment ID: I20060630000182

Medical Identifiers

Medical identifiers for Dr Shirley Y Godiwalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518929611	NPI	-	NPPES
340012140	Other		RR MEDICARE
31392600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	26973 (Wisconsin)	Secondary
208D00000X	General Practice	2697320 (Wisconsin)	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. Dr Shirley Y Godiwalla 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
Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052	Dr Shirley Y Godiwalla, MD W283n3671 Yorkshire Trce, Pewaukee, WI 53072-3311 Ph: (262) 695-3052

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General Practice Doctors in Pewaukee, WI

Dr. Steven Mather Kotsonis, M.D.
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1109 Cecelia Dr, Pewaukee, WI 53072
Phone: 262-373-6733 Fax: 262-373-6018

Dr Shirley Y Godiwalla, MD - Medicare General Practice in Pewaukee, WI