Shahid S Ali, NPP, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Churchville, New York. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Finger Lakes Area Counseling And Recovery Agency, Inc. and his current practice location is
451 Bromley Rd, Churchville, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 683-8515.
Shahid S Ali is licensed to practice in New York (license number 400972) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376573733.
Provider's Profile
| Full Name | Shahid S Ali |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 22 Years |
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| Location | 451 Bromley Rd, Churchville, New York |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shahid S Ali graduated from nursing school in 2002
NPI Data:
- NPI Number: 1376573733
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 02/19/2013
Medicare PECOS Information:
- PECOS PAC ID: 9133206782
- Enrollment ID: I20080407000177
Medical Identifiers
Medical identifiers for Shahid S Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376573733 | NPI | - | NPPES |
| NP0699 | Other | NY | PREFERED CARE ROCHESTER N |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 333755 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 400972 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Finger Lakes Area Counseling And Recovery Agency, Inc. | 1254683766 | 9 |
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. Shahid S Ali allows following entities to bill medicare on his behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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| Entity Name | Finger Lakes Area Counseling And Recovery Agency, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366434011
PECOS PAC ID: 1254683766
Enrollment ID: O20181011001185 |
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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. Shahid S Ali 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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Shahid S Ali, NPP, FNP
451 Bromley Rd,
Churchville, NY 14428-9784
Ph: (585) 683-8515 | Shahid S Ali, NPP, FNP
451 Bromley Rd,
Churchville, NY 14428-9784
Ph: (585) 683-8515 |
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