Kamlesh S Shah, MD is a medicare enrolled "Allergy & Immunology" physician in Casper, Wyoming. His current practice location is
2222 East Second Street, Casper, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 577-5222.
Kamlesh S Shah is licensed to practice in Wyoming (license number 5881A) 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 1649332412.
Physician's Profile
Full Name | Kamlesh S Shah |
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Gender | Male |
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Speciality | Allergy & Immunology |
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Location | 2222 East Second Street, Casper, Wyoming |
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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: 1649332412
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 12/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 7416846738
- Enrollment ID: I20040421001666
Medical Identifiers
Medical identifiers for Kamlesh S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649332412 | NPI | - | NPPES |
111801300 | Medicaid | WY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | 5881A (Wyoming) | Primary |
207K00000X | Allergy & Immunology | 38777 (Colorado) | 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. Kamlesh S Shah allows following entities to bill medicare on his behalf.
Entity Name | Allergy & Asthma Clinic Of Wyoming Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417016734 PECOS PAC ID: 2668467507 Enrollment ID: O20040419001334 |
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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. Kamlesh 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 |
Kamlesh S Shah, MD 2222 East Second Street, Casper, WY 82609 Ph: (307) 577-5222 | Kamlesh S Shah, MD 2222 East Second Street, Casper, WY 82609 Ph: (307) 577-5222 |
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