Dr Pradip Shah, MD | |
200 E Fairman Ave, Watseka, IL 60970-1644 | |
(630) 321-8300 | |
(630) 321-8750 |
Full Name | Dr Pradip Shah |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 49 Years |
Location | 200 E Fairman Ave, Watseka, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891789244 | NPI | - | NPPES |
036-055221 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-055221 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Statera Health Care Llc | 0244565729 | 26 |
Entity Name | Iroquois Memorial Hospital And Resident Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
Entity Name | Aurora Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 |
Entity Name | Statera Health Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
Entity Name | Alliance Medical Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194357954 PECOS PAC ID: 1456781400 Enrollment ID: O20200415002624 |
Mailing Address | Practice Location Address |
---|---|
Dr Pradip Shah, MD 150 Quail Ridge Dr, Westmont, IL 60559-6142 Ph: (630) 321-8300 | Dr Pradip Shah, MD 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (630) 321-8300 |
Iftekhar A. Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 815-432-5841 | |
Kathleen O. Halleran, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
Dr. John A. Timmons, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
Vijay Desai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 630-321-8300 Fax: 630-321-8750 | |
M. Hytham Beck, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Fairman Ave, Watseka, IL 60970 Phone: 815-432-5411 |