Dr Chaitali Shah, OD is a medicare enrolled "Optometrist" provider in Commerce, California. Her current practice location is
5520 Whittier Blvd, Commerce, California. You can reach out to her office (for appointments etc.) via phone at
(323) 728-2708.
Dr Chaitali Shah is licensed to practice in California (license number 14176) 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 1194005397.
Healthcare Provider's Profile
| Full Name | Dr Chaitali Shah |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 5520 Whittier Blvd, Commerce, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194005397
- Provider Enumeration Date: 08/19/2011
- Last Update Date: 08/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416115860
- Enrollment ID: I20120215000281
Medical Identifiers
Medical identifiers for Dr Chaitali Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194005397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 14176 (California) | 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. Dr Chaitali Shah allows following entities to bill medicare on her behalf.
| Provider Name | Fourth Optometric Care Of California |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497499974
PECOS PAC ID: 6305210345
Enrollment ID: O20230315000196 |
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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. Dr Chaitali 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 |
|---|
Dr Chaitali Shah, OD
17327 Larisa Dr,
Cerritos, CA 90703-2770
Ph: (562) 215-3858 | Dr Chaitali Shah, OD
5520 Whittier Blvd,
Commerce, CA 90022-4104
Ph: (323) 728-2708 |
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