Sanket Shah, MD - Medicare Ophthalmology in Fresno, CA

Sanket Shah, MD is a medicare enrolled "Ophthalmology" physician in Fresno, California. He went to Northwestern University Feinberg Medical School and graduated in 2018 and has 6 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Insight Vision Center Medical Group Inc and his current practice location is 1360 E Herndon Ave Ste 201, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 449-5050.

Sanket Shah is licensed to practice in California (license number A185699) 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 1396137865.

Contact Information

Sanket Shah, MD
1360 E Herndon Ave Ste 201,
Fresno, CA 93720-3326
(559) 449-5050
(559) 432-2632

Map and Direction




Physician's Profile

Full NameSanket Shah
GenderMale
SpecialityOphthalmology
Experience6 Years
Location1360 E Herndon Ave Ste 201, Fresno, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sanket Shah attended and graduated from Northwestern University Feinberg Medical School in 2018
  NPI Data:
  • NPI Number: 1396137865
  • Provider Enumeration Date: 02/20/2015
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779902648
  • Enrollment ID: I20231003001044

Medical Identifiers

Medical identifiers for Sanket Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396137865NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 54051 (Kentucky)Secondary
207W00000XOphthalmology A185699 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fresno Surgical HospitalFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Insight Vision Center Medical Group Inc10522194099

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. Sanket Shah allows following entities to bill medicare on his behalf.
Entity NameInsight Vision Center Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316949506
PECOS PAC ID: 1052219409
Enrollment ID: O20031223000317

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. Sanket 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
Sanket Shah, MD
1360 E Herndon Ave Ste 201,
Fresno, CA 93720-3326

Ph: (594) 495-0505
Sanket Shah, MD
1360 E Herndon Ave Ste 201,
Fresno, CA 93720-3326

Ph: (559) 449-5050

Reviews and Comments


Ophthalmology Doctors in Fresno, CA

Eric James Poulsen, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1360 E Herndon Ave, Ste 201, Fresno, CA 93720
Phone: 559-449-5050    Fax: 559-432-2632
Dr. David Brett Kaye, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 6767 N Fresno St, Fresno, CA 93710
Phone: 559-432-1000    Fax: 559-432-1034
Dr. Laura A Teasley, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1360 E Herndon Ave Ste 301, Fresno, CA 93720
Phone: 559-486-5000    Fax: 559-439-6804
Larry Ray Lawrence, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1360 E Herndon Ave, Ste 201, Fresno, CA 93720
Phone: 559-449-5050    Fax: 559-432-2632
Dr. Richard Lee Moors, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 7075 N Sharon Ave, Fresno, CA 93720
Phone: 559-486-2000    Fax: 559-256-8575
Dr. William Andrew Maxwell, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720
Phone: 559-449-5010    Fax: 559-449-5014
Dr. Gary R. Fogg, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1360 E Herndon Ave, Suite 401, Fresno, CA 93720
Phone: 559-449-5010    Fax: 559-449-5014

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).

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