Dr Vipinchandra K Shah, is a medicare enrolled "General Practice" physician in Edwardsville, Illinois. His current practice location is
26 Camelot Dr, Edwardsville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 692-4373.
Dr Vipinchandra K Shah is licensed to practice in Illinois (license number 036053494) 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 1265454995.
Physician's Profile
Full Name | Dr Vipinchandra K Shah |
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Gender | Male |
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Speciality | General Practice |
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Location | 26 Camelot Dr, Edwardsville, 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: 1265454995
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 06/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 1951459726
- Enrollment ID: I20090505000263
Medical Identifiers
Medical identifiers for Dr Vipinchandra K Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265454995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 036053494 (Illinois) | 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 Vipinchandra K Shah allows following entities to bill medicare on his behalf.
Entity Name | Illinois Department Of Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003960394 PECOS PAC ID: 9830003920 Enrollment ID: O20031113000414 |
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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 Vipinchandra K 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 Vipinchandra K Shah, 26 Camelot Dr, Edwardsville, IL 62025-3701 Ph: () - | Dr Vipinchandra K Shah, 26 Camelot Dr, Edwardsville, IL 62025-3701 Ph: (618) 692-4373 |
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