Shristi Shah, MD in Grandville, MI - Medicare Psychiatry & Neurology

Shristi Shah, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Grandville, Michigan. Her current practice location is 4211 Parkway Pl Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 222-3700.

Shristi Shah is licensed to practice in Michigan (license number 4301100311) 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 1639303712.

Contact Information

	Shristi Shah, MD
	4211 Parkway Pl Sw, Grandville, MI 49418-2695
	(616) 222-3700
	Not Available

Map and Direction

Physician's Profile

Full Name	Shristi Shah
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	4211 Parkway Pl Sw, Grandville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639303712
Provider Enumeration Date: 05/05/2009
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3375790710
Enrollment ID: I20150918002476

Medical Identifiers

Medical identifiers for Shristi Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639303712	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	4301100311 (Michigan)	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. Shristi Shah allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Shristi 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
Shristi Shah, MD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Shristi Shah, MD 4211 Parkway Pl Sw, Grandville, MI 49418-2695 Ph: (616) 222-3700

Reviews and Comments

Psychiatry & Neurology Doctors in Grandville, MI

Nan Beth Alt, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 151 44th Street, S.w., Grandville, MI 49418 Phone: 616-457-1889 Fax: 616-457-1891
Dr. Ryan Joseph Yoon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418 Phone: 616-222-3700
Michael Bernard Karluk, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4211 Parkway Pl Sw, Grandville, MI 49418 Phone: 616-222-3700
Dr. Jonathan James Dargo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4211 Parkway Pl Sw, Grandville, MI 49418 Phone: 616-222-3700
Alexander Jonathon Hayek, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418 Phone: 616-222-3700

Shristi Shah, MD - Medicare Psychiatry & Neurology in Grandville, MI