Dr Bharat R Shah, is a medicare enrolled "Urology" physician in Northport, New York. His current practice location is
79 Middleville Road, Northport, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 261-4400.
Dr Bharat R Shah is licensed to practice in New York (license number 145555-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619936671.
Physician's Profile
| Full Name | Dr Bharat R Shah |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 79 Middleville Road, Northport, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619936671
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840476339
- Enrollment ID: I20110518000135
Medical Identifiers
Medical identifiers for Dr Bharat R Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619936671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 145555-1 (New York) | 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 Bharat R Shah 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 Bharat R Shah,
24 Madison Ave,
Jericho, NY 11753-1423
Ph: (516) 939-0056 | Dr Bharat R Shah,
79 Middleville Road,
Northport, NY 11768-2290
Ph: (631) 261-4400 |
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