Mr Jaykumar Shah, AGACNP - BC in West Bloomfield, MI

Mr Jaykumar Shah, AGACNP - BC is a medicare enrolled "Nurse Practitioner - Acute Care" in West Bloomfield, Michigan. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Medical Group and his current practice location is 6777 W Maple Rd, West Bloomfield, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 325-0432.

Mr Jaykumar Shah is licensed to practice in Michigan (license number 4704274015) 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 1154947323.

Contact Information

	Mr Jaykumar Shah, AGACNP - BC
	6777 W Maple Rd, West Bloomfield, MI 48322-3013
	(248) 325-0432
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jaykumar Shah
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	6777 W Maple Rd, West Bloomfield, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jaykumar Shah graduated from nursing school in 2020

NPI Data:

NPI Number: 1154947323
Provider Enumeration Date: 06/23/2020
Last Update Date: 08/03/2020

Medicare PECOS Information:

PECOS PAC ID: 9830506484
Enrollment ID: I20210325002302

Medical Identifiers

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

Identifier	Type	State	Issuer
1154947323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704274015 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Henry Ford Hospital	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124

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. Mr Jaykumar Shah allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

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. Mr Jaykumar 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
Mr Jaykumar Shah, AGACNP - BC 4687 Sutherland Dr, Troy, MI 48085-3464 Ph: () -	Mr Jaykumar Shah, AGACNP - BC 6777 W Maple Rd, West Bloomfield, MI 48322-3013 Ph: (248) 325-0432

Reviews and Comments

Nurse Practitioner Nurses in West Bloomfield, MI

Alexsandra Aquila Lachance, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 Haggerty Rd Ste 2000, West Bloomfield, MI 48323 Phone: 248-624-9900 Fax: 248-896-5450
Sandra Oliver-mcneil, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6450 Farmington Rd Ste 200, West Bloomfield, MI 48322 Phone: 248-788-4278 Fax: 248-788-2001
Mrs. Dorota Meller Klenk, RN NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W. Maple Rd, Dept Of Surgery, West Bloomfield, MI 48322 Phone: 248-910-0061 Fax: 248-849-3230
Lana Turbovsky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 Orchard Lake Rd Ste 210, West Bloomfield, MI 48322 Phone: 248-757-2410 Fax: 248-757-2412
Nicole Kajy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5254 Waterview Dr, West Bloomfield, MI 48323 Phone: 248-683-2571
Ms. Aurica Haiduc Lucaciu, C-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6777 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-325-1000
Dr. Heather Roebuck, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5807 W Maple Rd, Suite 171, West Bloomfield, MI 48322 Phone: 248-862-6269 Fax: 248-862-6382

Mr Jaykumar Shah, AGACNP - BC - Medicare Nurse Practitioner in West Bloomfield, MI