Dr Erum Shahab, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ellington, Connecticut. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Waire Llc and her current practice location is
16 Main St, Ellington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 871-5402.
Dr Erum Shahab is licensed to practice in Connecticut (license number 0431121) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669434049.
Physician's Profile
| Full Name | Dr Erum Shahab |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 28 Years |
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| Location | 16 Main St, Ellington, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Erum Shahab graduated from medical school in 1996
NPI Data:
- NPI Number: 1669434049
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 12/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 8527069194
- Enrollment ID: I20070530000179
Medical Identifiers
Medical identifiers for Dr Erum Shahab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669434049 | NPI | - | NPPES |
| 1669434049 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 043112 (Connecticut) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 0431121 (Connecticut) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0431121 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Waire Llc | 4183782360 | 4 |
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. Dr Erum Shahab allows following entities to bill medicare on her behalf.
| Entity Name | Waire Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871744243
PECOS PAC ID: 4183782360
Enrollment ID: O20081016000105 |
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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 Erum Shahab 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 Erum Shahab, MD
16 Main St,
Ellington, CT 06029-3360
Ph: (860) 871-5402 | Dr Erum Shahab, MD
16 Main St,
Ellington, CT 06029-3360
Ph: (860) 871-5402 |
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