Siddharth Shah, is a medicare enrolled "Physician Assistant" physician in Merced, California. His current practice location is
3150 G St # D, Merced, California. You can reach out to his office (for appointments etc.) via phone at
(209) 921-3500.
Siddharth Shah is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275261729.
Physician's Profile
| Full Name | Siddharth Shah |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3150 G St # D, Merced, California |
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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: 1275261729
- Provider Enumeration Date: 08/11/2022
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214311497
- Enrollment ID: I20220907002983
Medical Identifiers
Medical identifiers for Siddharth Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275261729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | PA61439 (California) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Siddharth 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 |
|---|
Siddharth Shah,
3150 G St # D,
Merced, CA 95340-1346
Ph: () - | Siddharth Shah,
3150 G St # D,
Merced, CA 95340-1346
Ph: (209) 921-3500 |
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