Juliana M Shah, APNP is a medicare enrolled "Internal Medicine - Rheumatology" in Glendale, Wisconsin. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rheumatic Disease Center and her current practice location is
7080 N Port Washington Road, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 351-4009.
Juliana M Shah is licensed to practice in Wisconsin (license number 6715-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407211287.
Provider's Profile
| Full Name | Juliana M Shah |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 7080 N Port Washington Road, Glendale, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Juliana M Shah graduated from nursing school in 2015
NPI Data:
- NPI Number: 1407211287
- Provider Enumeration Date: 12/22/2015
- Last Update Date: 05/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153625777
- Enrollment ID: I20160203000259
Medical Identifiers
Medical identifiers for Juliana M Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407211287 | NPI | - | NPPES |
| 1407211287 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 6715 - 33 (Wisconsin) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 6715-33 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rheumatic Disease Center | 0840210852 | 10 |
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. Juliana M Shah allows following entities to bill medicare on her behalf.
| Entity Name | The Medical College Of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Rheumatic Disease Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609812544
PECOS PAC ID: 0840210852
Enrollment ID: O20051205000691 |
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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. Juliana M 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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Juliana M Shah, APNP
7080 N Port Washington Road,
Glendale, WI 53217
Ph: (414) 351-4009 | Juliana M Shah, APNP
7080 N Port Washington Road,
Glendale, WI 53217
Ph: (414) 351-4009 |
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