Namitha John Shah, FNP-BC in New York, NY - Medicare Nurse Practitioner

Namitha John Shah, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 1619 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 416-5752.

Namitha John Shah is licensed to practice in New York (license number 342753) 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 1235620048.

Contact Information

	Namitha John Shah, FNP-BC
	1619 Broadway, New York, NY 10019-7412
	(646) 416-5752
	Not Available

Map and Direction

Provider's Profile

Full Name	Namitha John Shah
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1619 Broadway, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235620048
Provider Enumeration Date: 05/29/2018
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8325382385
Enrollment ID: I20240209000894

Medical Identifiers

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

Identifier	Type	State	Issuer
1235620048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	342753 (New York)	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. Namitha John Shah allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696

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. Namitha John 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
Namitha John Shah, FNP-BC 30 N Tyson Ave, Floral Park, NY 11001-1515 Ph: (347) 624-8566	Namitha John Shah, FNP-BC 1619 Broadway, New York, NY 10019-7412 Ph: (646) 416-5752

Reviews and Comments

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Namitha John Shah, FNP-BC - Medicare Nurse Practitioner in New York, NY