Kiritkumar Jivanlal Shah, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mableton, Georgia. His current practice location is
6360 Mableton Parkway, Mableton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 948-8600.
Kiritkumar Jivanlal Shah is licensed to practice in Georgia (license number 022637) 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 1306912779.
Physician's Profile
Full Name | Kiritkumar Jivanlal Shah |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 6360 Mableton Parkway, Mableton, Georgia |
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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: 1306912779
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4880580570
- Enrollment ID: I20040227000754
Medical Identifiers
Medical identifiers for Kiritkumar Jivanlal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306912779 | NPI | - | NPPES |
00246287A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 022637 (Georgia) | 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. Kiritkumar Jivanlal Shah allows following entities to bill medicare on his behalf.
Entity Name | Kiritkumar J. Shah, M.d.,pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114207727 PECOS PAC ID: 7810167806 Enrollment ID: O20110830000748 |
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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. Kiritkumar Jivanlal 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 |
Kiritkumar Jivanlal Shah, MD 6360 Mableton Parkway, Mableton, GA 30126 Ph: (770) 948-8600 | Kiritkumar Jivanlal Shah, MD 6360 Mableton Parkway, Mableton, GA 30126 Ph: (770) 948-8600 |
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