Dr Kirit C Shah, MD is a medicare enrolled "Family Medicine" physician in Summit, Illinois. His current practice location is
6252 S Archer Rd, Summit, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 496-9549.
Dr Kirit C Shah is licensed to practice in Illinois (license number ) 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 1003987298.
Physician's Profile
| Full Name | Dr Kirit C Shah |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 6252 S Archer Rd, Summit, Illinois |
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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: 1003987298
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2062550312
- Enrollment ID: I20091106000505
Medical Identifiers
Medical identifiers for Dr Kirit C Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003987298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (Illinois) | 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. Dr Kirit C Shah allows following entities to bill medicare on his behalf.
| Entity Name | Summit Medical Center S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679744643
PECOS PAC ID: 6406994755
Enrollment ID: O20091106000514 |
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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 Kirit C 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 Kirit C Shah, MD
6252 S Archer Rd,
Summit, IL 60501-1720
Ph: (708) 496-9549 | Dr Kirit C Shah, MD
6252 S Archer Rd,
Summit, IL 60501-1720
Ph: (708) 496-9549 |
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