Dr Mahendra G Shah, MD is a medicare enrolled "Family Medicine" physician in Wading River, New York. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Shore Hematology Oncology Associates Pc and his current practice location is
1866 Wading River Manor Road, Wading River, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 929-8787.
Dr Mahendra G Shah is licensed to practice in New York (license number 136332) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215020011.
Physician's Profile
| Full Name | Dr Mahendra G Shah |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 52 Years |
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| Location | 1866 Wading River Manor Road, Wading River, New York |
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| Accepts Medicare Assignments | Yes. He 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 Mahendra G Shah graduated from medical school in 1972
NPI Data:
- NPI Number: 1215020011
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 7012105364
- Enrollment ID: I20101230000533
Medical Identifiers
Medical identifiers for Dr Mahendra G Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215020011 | NPI | - | NPPES |
| 00558567 | Medicaid | NY | |
| 15A681 | Other | NY | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 136332 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore Hematology Oncology Associates Pc | 1456243641 | 344 |
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 Mahendra G Shah allows following entities to bill medicare on his behalf.
| Entity Name | North Shore Hematology Oncology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396794574
PECOS PAC ID: 1456243641
Enrollment ID: O20040324001766 |
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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 Mahendra G 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 |
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Dr Mahendra G Shah, MD
P.o. Box 625,
Wading River, NY 11792
Ph: (631) 929-8787 | Dr Mahendra G Shah, MD
1866 Wading River Manor Road,
Wading River, NY 11792
Ph: (631) 929-8787 |
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