Syed Jibran Shah, DO - Medicare Family Medicine in Ithaca, NY

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Syed Jibran Shah, DO is a medicare enrolled "Family Medicine" physician in Ithaca, New York. His current practice location is 1780 Hanshaw Rd, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 257-5858.

Syed Jibran Shah is licensed to practice in New York (license number 289028) 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 1518385269.

Contact Information

Syed Jibran Shah, DO
1780 Hanshaw Rd,
Ithaca, NY 14850-9105
(607) 257-5858
(607) 257-1718

Map and Direction




Physician's Profile

Full NameSyed Jibran Shah
GenderMale
SpecialityFamily Medicine
Location1780 Hanshaw Rd, Ithaca, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518385269
  • Provider Enumeration Date: 03/31/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002189404
  • Enrollment ID: I20170907000095

Medical Identifiers

Medical identifiers for Syed Jibran Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518385269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 289028 (New York)Primary
390200000XStudent 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. Syed Jibran Shah allows following entities to bill medicare on his behalf.
Entity NameGuthrie Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134178635
PECOS PAC ID: 6002728656
Enrollment ID: O20031103000220

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. Syed Jibran 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
Syed Jibran Shah, DO
One Guthrie Square,
Sayre, PA 18840-1625

Ph: (570) 888-5858		Syed Jibran Shah, DO
1780 Hanshaw Rd,
Ithaca, NY 14850-9105

Ph: (607) 257-5858

Reviews and Comments


Family Medicine Doctors in Ithaca, NY

David Wentzel, D.O.
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Phone: 607-255-6946    Fax: 607-254-3503
Douglas Michael Zang, MD
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Dr. David Eric Ristedt, M.D.
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Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850
Phone: 607-257-5858    
Sharon L Ziegler, MD
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Practice Location: 209 W State St, Attn: Bob Bloom, Ithaca, NY 14850
Phone: 607-277-4341    Fax: 607-216-0902
Sarah Wineholt, MD
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Phone: 607-697-0360    Fax: 607-272-0240
Matthew S Ujevich, DO
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Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850
Phone: 607-257-5858    
Meredith Sax Bourne, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 720 Willow Ave, Ithaca, NY 14850
Phone: 607-219-4600    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.