Dr Sanjay N Shah, MD is a medicare enrolled "Surgery" physician in Massena, New York. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Banner Health and his current practice location is
181 Maple St, Massena, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 769-4656.
Dr Sanjay N Shah is licensed to practice in New York (license number 167327) 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 1285694778.
Physician's Profile
| Full Name | Dr Sanjay N Shah |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 45 Years |
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| Location | 181 Maple St, Massena, 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 Sanjay N Shah graduated from medical school in 1979
NPI Data:
- NPI Number: 1285694778
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 01/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 8628161882
- Enrollment ID: I20210105001848
Medical Identifiers
Medical identifiers for Dr Sanjay N Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285694778 | NPI | - | NPPES |
| 01368721 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 167327 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Banner Health | 9537078365 | 4 |
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 Sanjay N Shah allows following entities to bill medicare on his behalf.
| Entity Name | Banner Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205267549
PECOS PAC ID: 9537078365
Enrollment ID: O20140604002057 |
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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 Sanjay N 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 Sanjay N Shah, MD
1 Hospital Dr,
Massena, NY 13662-1056
Ph: (315) 769-4200 | Dr Sanjay N Shah, MD
181 Maple St,
Massena, NY 13662-1012
Ph: (315) 769-4656 |
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