Prit Shah, | |
350 N Wall St, Kankakee, IL 60901-2901 | |
(617) 638-6500 | |
(815) 933-1671 |
Full Name | Prit Shah |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 350 N Wall St, Kankakee, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003107772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036137651 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palos Community Hospital | Palos heights, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Prit Shah, 68 S Service Rd, Suite 350, Melville, NY 11747-2354 Ph: (516) 945-3115 | Prit Shah, 350 N Wall St, Kankakee, IL 60901-2901 Ph: (617) 638-6500 |
Dr. Sunny Niranjan Shah, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-935-7867 | |
John A Mitchell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 800-444-6110 | |
Jasmine Mathew Maly, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 400 N Wall St, Suite 304, Kankakee, IL 60901 Phone: 815-929-1388 Fax: 815-935-7062 | |
David Yeung, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Dr. Yasser A Alhaj-hussein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Dept Of Anesthesesia, Kankakee, IL 60901 Phone: 815-933-1671 |