Dr Neil Samir Shah, MD is a medicare enrolled "Ophthalmology" physician in Lake Bluff, Illinois. He went to University Of Pittsburgh School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Endeavor Health Medical Group and his current practice location is
71 Waukegan Rd Ste 700, Lake Bluff, Illinois. You can reach out to his office (for appointments etc.) via phone at
(224) 251-2020.
Dr Neil Samir Shah is licensed to practice in Illinois (license number 036163007) 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 1942688734.
Physician's Profile
| Full Name | Dr Neil Samir Shah |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 9 Years |
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| Location | 71 Waukegan Rd Ste 700, Lake Bluff, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Neil Samir Shah attended and graduated from University Of Pittsburgh School Of Medicine in 2015
NPI Data:
- NPI Number: 1942688734
- Provider Enumeration Date: 05/12/2015
- Last Update Date: 02/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648575951
- Enrollment ID: I20221222000364
Medical Identifiers
Medical identifiers for Dr Neil Samir Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942688734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 036163007 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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 Neil Samir Shah allows following entities to bill medicare on his behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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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. Dr Neil Samir 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 |
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Dr Neil Samir Shah, MD
71 Waukegan Rd Ste 700,
Lake Bluff, IL 60044-1614
Ph: (224) 251-2020 | Dr Neil Samir Shah, MD
71 Waukegan Rd Ste 700,
Lake Bluff, IL 60044-1614
Ph: (224) 251-2020 |
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