Dr Phalgoon A Shah, MD - Medicare Pulmonary Disease in Edgewood, KY

Dr Phalgoon A Shah, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Edgewood, Kentucky. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Summit Medical Group, Inc, Summit Medical Group, Inc and his current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 757-2927.

Dr Phalgoon A Shah is licensed to practice in Kentucky (license number 53445) 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 1821409319.

Contact Information

Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 757-2927
(859) 341-0203

Map and Direction




Physician's Profile

Full NameDr Phalgoon A Shah
GenderMale
SpecialityPulmonary Disease
Experience17 Years
Location1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Phalgoon A Shah graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1821409319
  • Provider Enumeration Date: 05/19/2014
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507137312
  • Enrollment ID: I20200521002053

Medical Identifiers

Medical identifiers for Dr Phalgoon A Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821409319NPI-NPPES
029220OtherCOKAISER COMMERCIAL NUMBER
7100660020MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 53445 (Kentucky)Primary
207RC0200XInternal Medicine - Critical Care Medicine 53445 (Kentucky)Secondary
207RP1001XInternal Medicine - Pulmonary Disease DR.0065750 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital
St Elizabeth FlorenceFlorence, KYHospital
Dearborn County HospitalLawrenceburg, INHospital
St Elizabeth GrantWilliamstown, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712
Summit Medical Group, Inc2163326240712

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 Phalgoon A Shah allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150

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 Phalgoon A 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
Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 757-2927
Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 757-2927

Reviews and Comments


Internal Medicine Doctors in Edgewood, KY

Alice Hall, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Colleen M Darnell, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-4000    Fax: 859-301-4001
Charles M Bernstein, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, St. Elizabeth Healthcare, Edgewood, KY 41017
Phone: 859-301-2423    Fax: 859-301-2066
Vidya Rajaram Devarajan, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-757-4446    Fax: 859-344-1999
Dr. Minsig Choi, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-4000    Fax: 859-301-4001
Robert J Wagner, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Ryan Daniel Weprin, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945

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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