Dr Pravin S Shah, MD, is a medicare enrolled "Specialist" physician in Des Plaines, Illinois. His current practice location is
1400e Golf Rd 222, Des Plaines, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 391-6360.
Dr Pravin S Shah is licensed to practice in Illinois (license number 036055437) 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 1467473231.
Physician's Profile
Full Name | Dr Pravin S Shah |
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Gender | Male |
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Speciality | Specialist |
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Location | 1400e Golf Rd 222, Des Plaines, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467473231
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 07/07/2015
Medicare PECOS Information:
- PECOS PAC ID: 9830292473
- Enrollment ID: I20070320000052
Medical Identifiers
Medical identifiers for Dr Pravin S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467473231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036055437 (Illinois) | Secondary |
174400000X | Specialist | 036055437 (Illinois) | Primary |
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 Pravin S 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 Pravin S Shah, MD, 1400e Golf Rd 222, Des Plaines, IL 60016-1252 Ph: (847) 391-6360 | Dr Pravin S Shah, MD, 1400e Golf Rd 222, Des Plaines, IL 60016-1252 Ph: (847) 391-6360 |
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