Dr Pravin Shah, MD - Medicare Surgery in Hawthorne, NY

Dr Pravin Shah, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Hawthorne, New York. His current practice location is 19 Bradhurst Ave, Ste 700, Hawthorne, New York. You can reach out to his office (for appointments etc.) via phone at (914) 593-7800.

Dr Pravin Shah is licensed to practice in New York (license number 117860) 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 1326041211.

Contact Information

Dr Pravin Shah, MD
19 Bradhurst Ave, Ste 700,
Hawthorne, NY 10532-2140
(914) 593-7800
(914) 593-7881

Map and Direction




Physician's Profile

Full NameDr Pravin Shah
GenderMale
SpecialitySurgery - Vascular Surgery
Location19 Bradhurst Ave, Hawthorne, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326041211
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 10/08/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6406742402
  • Enrollment ID: I20040226000134

Medical Identifiers

Medical identifiers for Dr Pravin Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326041211NPI-NPPES
97E613K223OtherNYPTAN
00549853MedicaidNY
97E6133641OtherNYPTAN
97E613K221OtherNYPTAN
770002078OtherNYRAIL ROAD MEDICARE
97E613K222OtherNYPTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 117860 (New York)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 Pravin Shah allows following entities to bill medicare on his behalf.
Entity NameWestchester Medical Center Advanced Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912131392
PECOS PAC ID: 3173660776
Enrollment ID: O20091031000042

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 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 Pravin Shah, MD
Po Box 5801,
New York, NY 10087-5801

Ph: (914) 593-7880
Dr Pravin Shah, MD
19 Bradhurst Ave, Ste 700,
Hawthorne, NY 10532-2140

Ph: (914) 593-7800

Reviews and Comments


Surgery Doctors in Hawthorne, NY

Cordelia V Sharma, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave, Suite 3040n, Hawthorne, NY 10532
Phone: 914-493-6820    
Anthony Maffei, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave, Suite 1700, Hawthorne, NY 10532
Phone: 914-493-2853    Fax: 914-347-4401
Kathryn Martin,
Surgery
Medicare: Medicare Enrolled
Practice Location: 19 Bradhurst Ave Ste 3050n, Hawthorne, NY 10532
Phone: 914-775-5437    
Anthony Joseph Policastro, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave, 3040n, Hawthorne, NY 10532
Phone: 914-347-0162    Fax: 914-347-4401
Dr. Romeo Mateo, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 19 Bradhurst Ave, Ste 700, Hawthorne, NY 10532
Phone: 914-593-7800    Fax: 914-593-7881
Francis Balolong Baccay, MD
Surgery
Medicare: May Accept Medicare Assignments
Practice Location: 19 Bradhurst Ave, Suite3050n, Hawthorne, NY 10532
Phone: 914-347-0162    Fax: 914-347-4401

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.