Riddhi Jay Shah, DO is a medicare enrolled "Dermatology" in Saint Joseph, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Lakeland Medical Practices and her current practice location is
3901 Stonegate Park, Suite 300, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 408-4265.
Riddhi Jay Shah is licensed to practice in Michigan (license number 5101020760) 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 1568504397.
Provider's Profile
| Full Name | Riddhi Jay Shah |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 3901 Stonegate Park, Saint Joseph, Michigan |
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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:
- Riddhi Jay Shah graduated from nursing school in 2012
NPI Data:
- NPI Number: 1568504397
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 08/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 0244330173
- Enrollment ID: I20160823002359
Medical Identifiers
Medical identifiers for Riddhi Jay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568504397 | NPI | - | NPPES |
| 1568504397 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 011440 (New York) | Secondary |
| 363A00000X | Physician Assistant | C0003431 (Maryland) | Secondary |
| 207N00000X | Dermatology | 5101020760 (Michigan) | Primary |
| 208D00000X | General Practice | 58.004442 (Ohio) | Secondary |
Medical Facilities Affiliation
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. Riddhi Jay Shah allows following entities to bill medicare on her behalf.
| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216 |
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| Entity Name | Prosperity Medical, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528837218
PECOS PAC ID: 2769828474
Enrollment ID: O20240315001348 |
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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. Riddhi Jay 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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Riddhi Jay Shah, DO
3901 Stonegate Park, Suite 300,
Saint Joseph, MI 49085-9137
Ph: (269) 408-4265 | Riddhi Jay Shah, DO
3901 Stonegate Park, Suite 300,
Saint Joseph, MI 49085-9137
Ph: (269) 408-4265 |
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