Priya A Shah, - Medicare Emergency Medicine in Durham, NC

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Priya A Shah, is a medicare enrolled "Emergency Medicine" physician in Durham, North Carolina. Her current practice location is 2301 Erwin Rd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 684-8111.

Priya A Shah is licensed to practice in Illinois (license number 036165890) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689202939.

Contact Information

Priya A Shah,
2301 Erwin Rd,
Durham, NC 27705-4699
(919) 684-8111
Not Available

Map and Direction




Physician's Profile

Full NamePriya A Shah
GenderFemale
SpecialityEmergency Medicine
Location2301 Erwin Rd, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689202939
  • Provider Enumeration Date: 03/31/2020
  • Last Update Date: 08/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648634220
  • Enrollment ID: I20230914003750

Medical Identifiers

Medical identifiers for Priya A Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689202939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036165890 (Illinois)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. Priya A Shah allows following entities to bill medicare on her behalf.
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameIllinois Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003150962
PECOS PAC ID: 6103071808
Enrollment ID: O20130304000132

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. Priya 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
Priya A Shah,
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: () -		Priya A Shah,
2301 Erwin Rd,
Durham, NC 27705-4699

Ph: (919) 684-8111

Reviews and Comments


Emergency Medicine Doctors in Durham, NC

Dr. Michael Healy Ward, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 508 Fulton St, Durham, NC 27705
Phone: 919-286-0411    
Lydia Darlud Mitchell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3643 N Roxboro St, Durham, NC 27704
Phone: 919-470-5345    
Rebecca Sara Rich, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3643 N Roxboro St, Durham, NC 27704
Phone: 919-470-5345    
Heston Channing Lamar, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2645 Meridian Pkwy Ste 323, Durham, NC 27713
Phone: 984-227-8902    
Charles Gerardo, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: Duke University Medical Ctr, Durham, NC 27710
Phone: 919-620-4467    
Dr. Benjamin Louis Oshlag, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2301 Erwin Rd, Durham, NC 27705
Phone: 919-684-5537    Fax: 919-681-8521
Joy Martin,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    

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.