Syed Fazal Shah, PMHNP in Buffalo, NY - Medicare Nurse Practitioner

Syed Fazal Shah, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Buffalo, New York. His current practice location is 1967 Wehrle Dr, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (415) 278-7037.

Syed Fazal Shah is licensed to practice in New York (license number 403108) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679198857.

Contact Information

	Syed Fazal Shah, PMHNP
	1967 Wehrle Dr, Buffalo, NY 14221-8452
	(415) 278-7037
	Not Available

Map and Direction

Provider's Profile

Full Name	Syed Fazal Shah
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1967 Wehrle Dr, Buffalo, 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: 1679198857
Provider Enumeration Date: 06/12/2020
Last Update Date: 03/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0547688673
Enrollment ID: I20200922000679

Medical Identifiers

Medical identifiers for Syed Fazal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679198857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	403108 (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. Syed Fazal Shah allows following entities to bill medicare on his behalf.

Entity Name	Psychiatry Faculty Practice, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881084820 PECOS PAC ID: 9234458530 Enrollment ID: O20150508000699

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. Syed Fazal 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
Syed Fazal Shah, PMHNP 719 Harrison St Rm 126, Syracuse, NY 13210-2305 Ph: (315) 256-0055	Syed Fazal Shah, PMHNP 1967 Wehrle Dr, Buffalo, NY 14221-8452 Ph: (415) 278-7037

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424

Syed Fazal Shah, PMHNP - Medicare Nurse Practitioner in Buffalo, NY