Jeanine Caroline Shah, MD - Medicare Family Medicine in New York, NY

Jeanine Caroline Shah, MD is a medicare enrolled "Family Medicine" physician in New York, New York. Her current practice location is 82 Nassau St # 61392, New York, New York. You can reach out to her office (for appointments etc.) via phone at (470) 410-4080.

Jeanine Caroline Shah is licensed to practice in Illinois (license number 036.132417) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518287812.

Contact Information

Jeanine Caroline Shah, MD
82 Nassau St # 61392,
New York, NY 10038-3703
(470) 410-4080
Not Available

Map and Direction




Physician's Profile

Full NameJeanine Caroline Shah
GenderFemale
SpecialityFamily Medicine
Location82 Nassau St # 61392, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518287812
  • Provider Enumeration Date: 06/09/2010
  • Last Update Date: 06/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254565245
  • Enrollment ID: I20131007000092

Medical Identifiers

Medical identifiers for Jeanine Caroline Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518287812NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 42055 (Oklahoma)Secondary
207Q00000XFamily Medicine MD202531 (Oregon)Secondary
207Q00000XFamily Medicine 43548 (Alabama)Secondary
207Q00000XFamily Medicine 075616 (Connecticut)Secondary
207Q00000XFamily Medicine 47115 (Arizona)Secondary
207Q00000XFamily Medicine 35.139958 (Ohio)Secondary
207Q00000XFamily Medicine 01091768A (Indiana)Secondary
207Q00000XFamily Medicine 31930 (Mississippi)Secondary
207Q00000XFamily Medicine 86307 (Georgia)Secondary
207Q00000XFamily Medicine 1017-320 (Wisconsin)Secondary
207Q00000XFamily Medicine MD61092503 (Washington)Secondary
207Q00000XFamily Medicine TPME327 (Florida)Secondary
207Q00000XFamily Medicine 036.132417 (Illinois)Primary
207Q00000XFamily Medicine MC-0656 (Idaho)Secondary
207Q00000XFamily Medicine MED-PHYS-COM-LIC-903 (Montana)Secondary

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. Jeanine Caroline Shah allows following entities to bill medicare on her behalf.
Entity NamePcc Community Wellness Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871516799
PECOS PAC ID: 1557270139
Enrollment ID: O20040206000415
Entity NamePrimecare Community Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558532739
PECOS PAC ID: 6204722077
Enrollment ID: O20040227000011

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. Jeanine Caroline 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
Jeanine Caroline Shah, MD
3033 Campus Dr Ste W225,
Plymouth, MN 55441-2752

Ph: (415) 504-3838
Jeanine Caroline Shah, MD
82 Nassau St # 61392,
New York, NY 10038-3703

Ph: (470) 410-4080

Reviews and Comments


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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).

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