Jay Shah, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dunlap, Illinois. He went to Michigan State University College Of Human Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice P.e.t. Imaging Services, Llc, Fort Wayne Radiology Associates Llc, Fort Wayne Radiology Associates Llc, Community Hospitals And Wellness Centers and his current practice location is
11327 N Daisy Rd, Dunlap, Illinois. You can reach out to his office (for appointments etc.) via phone at
(307) 277-2487.
Jay Shah is licensed to practice in Wisconsin (license number 70616-20) 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 1346656873.
Physician's Profile
Full Name | Jay Shah |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 10 Years |
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Location | 11327 N Daisy Rd, Dunlap, Illinois |
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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. |
Medical Education and Training:
- Jay Shah attended and graduated from Michigan State University College Of Human Medicine in 2014
NPI Data:
- NPI Number: 1346656873
- Provider Enumeration Date: 07/04/2014
- Last Update Date: 07/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 4284946260
- Enrollment ID: I20200603000288
Medical Identifiers
Medical identifiers for Jay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346656873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 70616-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
P.e.t. Imaging Services, Llc | 2668412842 | 5 |
Fort Wayne Radiology Associates Llc | 5294624060 | 35 |
Fort Wayne Radiology Associates Llc | 5294624060 | 35 |
Community Hospitals And Wellness Centers | 7517878093 | 54 |
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. Jay Shah allows following entities to bill medicare on his behalf.
Entity Name | Fort Wayne Radiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063475861 PECOS PAC ID: 5294624060 Enrollment ID: O20040329000698 |
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Entity Name | P.e.t. Imaging Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992768691 PECOS PAC ID: 2668412842 Enrollment ID: O20050506000346 |
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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. Jay 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 |
Jay Shah, MD 11327 N Daisy Rd, Dunlap, IL 61525-9436 Ph: () - | Jay Shah, MD 11327 N Daisy Rd, Dunlap, IL 61525-9436 Ph: (307) 277-2487 |
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