Radhika Shah, is a medicare enrolled "Dermatology" physician in Newark, New Jersey. Her current practice location is
150 Bergen St, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(862) 324-1581.
Radhika Shah is licensed to practice in California (license number A1865457) 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 1386105179.
Physician's Profile
| Full Name | Radhika Shah |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 150 Bergen St, Newark, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386105179
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 08/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577924687
- Enrollment ID: I20230804000820
Medical Identifiers
Medical identifiers for Radhika Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386105179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | A1865457 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Radhika Shah allows following entities to bill medicare on her behalf.
| Entity Name | Csi Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930 |
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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. Radhika 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 |
|---|
Radhika Shah,
150 Bergen St,
Newark, NJ 07103-2496
Ph: (862) 324-1581 | Radhika Shah,
150 Bergen St,
Newark, NJ 07103-2496
Ph: (862) 324-1581 |
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