Pratibha Pravin Shah, MD - Medicare Internal Medicine in Chester, NY

Pratibha Pravin Shah, MD is a medicare enrolled "Internal Medicine" physician in Chester, New York. She went to Rutgers New Jersey Medical School and graduated in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Middletown Medical Pc and her current practice location is 11 West Ave, Suite #1, Chester, New York. You can reach out to her office (for appointments etc.) via phone at (845) 469-6866.

Pratibha Pravin Shah is licensed to practice in New York (license number 190497) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437141785.

Contact Information

Pratibha Pravin Shah, MD
11 West Ave, Suite #1,
Chester, NY 10918-1501
(845) 469-6866
(845) 469-6855

Map and Direction




Physician's Profile

Full NamePratibha Pravin Shah
GenderFemale
SpecialityInternal Medicine
Experience33 Years
Location11 West Ave, Chester, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pratibha Pravin Shah attended and graduated from Rutgers New Jersey Medical School in 1991
  NPI Data:
  • NPI Number: 1437141785
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092902338
  • Enrollment ID: I20101213000196

Medical Identifiers

Medical identifiers for Pratibha Pravin Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437141785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 190497 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Garnet Health Medical CenterMiddletown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middletown Medical Pc2567464308140

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. Pratibha Pravin Shah allows following entities to bill medicare on her behalf.
Entity NameMiddletown Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855828
PECOS PAC ID: 2567464308
Enrollment ID: O20070208000144

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. Pratibha Pravin 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
Pratibha Pravin Shah, MD
11 West Ave,
Chester, NY 10918-1501

Ph: (845) 469-6866
Pratibha Pravin Shah, MD
11 West Ave, Suite #1,
Chester, NY 10918-1501

Ph: (845) 469-6866

Reviews and Comments


Internal Medicine Doctors in Chester, NY


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.