Dr Shashi S Shah, MD is a medicare enrolled "Urology" physician in Valley Stream, New York. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Urology. He is a member of the group practice North Shore - Lij Medical Pc and his current practice location is
525 N Central Ave, Valley Stream, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 825-5505.
Dr Shashi S Shah is licensed to practice in New York (license number 130215) 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 1174521710.
Physician's Profile
| Full Name | Dr Shashi S Shah |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 54 Years |
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| Location | 525 N Central Ave, Valley Stream, 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 Shashi S Shah graduated from medical school in 1970
NPI Data:
- NPI Number: 1174521710
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567649387
- Enrollment ID: I20110603000451
Medical Identifiers
Medical identifiers for Dr Shashi S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174521710 | NPI | - | NPPES |
| 00523386 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 130215 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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 Shashi S Shah allows following entities to bill medicare on his behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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 Shashi 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 |
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Dr Shashi S Shah, MD
525 N Central Ave,
Valley Stream, NY 11580-1136
Ph: (516) 825-5505 | Dr Shashi S Shah, MD
525 N Central Ave,
Valley Stream, NY 11580-1136
Ph: (516) 825-5505 |
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