Dr Lisa C Shah, DO - Medicare Family Practice in Prince George, VA

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Dr Lisa C Shah, DO is a medicare enrolled "Family Medicine" physician in Prince George, Virginia. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Prime Care Family Practice Pc and her current practice location is 4700 Puddledock Rd, Suite 300, Prince George, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 526-1111.

Dr Lisa C Shah is licensed to practice in Virginia (license number 0102202032) 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 1316129893.

Contact Information

Dr Lisa C Shah, DO
4700 Puddledock Rd, Suite 300,
Prince George, VA 23875-1268
(804) 526-1111
(804) 526-2978

Map and Direction




Physician's Profile

Full NameDr Lisa C Shah
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location4700 Puddledock Rd, Prince George, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lisa C Shah graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1316129893
  • Provider Enumeration Date: 11/27/2007
  • Last Update Date: 06/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7012093404
  • Enrollment ID: I20080326000151

Medical Identifiers

Medical identifiers for Dr Lisa C Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316129893NPI-NPPES
016465P04OtherVAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0102202032 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southside Regional Medical CenterPetersburg, VAHospital
John Randolph Medical CenterHopewell, VAHospital
Southern Virginia Regional Medical CenterEmporia, VAHospital
Bon Secours St Francis Medical CenterMidlothian, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prime Care Family Practice Pc57997380355

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 Lisa C Shah allows following entities to bill medicare on her behalf.
Entity NamePrime Care Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881629384
PECOS PAC ID: 5799738035
Enrollment ID: O20050225000611

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 Lisa 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 AddressPractice Location Address
Dr Lisa C Shah, DO
4700 Puddledock Rd, Suite 300,
Prince George, VA 23875-1268

Ph: (804) 526-1111		Dr Lisa C Shah, DO
4700 Puddledock Rd, Suite 300,
Prince George, VA 23875-1268

Ph: (804) 526-1111

Reviews and Comments


Family Medicine Doctors in Prince George, VA

Christopher W Ogburn, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd, Suite 300, Prince George, VA 23875
Phone: 804-526-1111    Fax: 804-526-2978
Dr. Lesli Antoinette Brown, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd, Suite 300, Prince George, VA 23875
Phone: 804-526-1111    Fax: 804-526-2978
Dr. Onyeije Wil Ozurumba, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4260 Crossings Blvd Ste 2, Prince George, VA 23875
Phone: 804-452-5800    Fax: 804-452-5801
John G Villanueva, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4260 Crossings Blvd, Suite 2, Prince George, VA 23875
Phone: 804-452-5800    Fax: 804-452-5801
Khin Kyaw Kyaw Thein, M.D., M.S.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd, Suite 300, Prince George, VA 23875
Phone: 804-526-1111    Fax: 804-526-2978

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.