Neal Shah, MD is a medicare enrolled "Dermatology" provider in Stony Brook, New York. His current practice location is
Stony Brook Dermatology Associates, 1320 Stony Brook Road Building F, Suite 200, Stony Brook, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 444-4200.
Neal Shah is licensed to practice in New York (license number 328334) 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 1053717215.
Healthcare Provider's Profile
| Full Name | Neal Shah |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | Stony Brook Dermatology Associates, Stony Brook, New York |
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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: 1053717215
- Provider Enumeration Date: 11/14/2014
- Last Update Date: 02/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1254876048
- Enrollment ID: I20240717000808
Medical Identifiers
Medical identifiers for Neal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053717215 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | RP0008208 (West Virginia) | Secondary |
| 207N00000X | Dermatology | 328334 (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. Neal Shah allows following entities to bill medicare on his behalf.
| Entity Name | Stony Brook Dermatology Associates, University Faculty Practice Corpor |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497700819
PECOS PAC ID: 3971493206
Enrollment ID: O20040318001322 |
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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. Neal 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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Neal Shah, MD
Stony Brook Dermatology Associates, 1320 Stony Brook Road Building F, Suite 200,
Stony Brook, NY 11790
Ph: (631) 444-4200 | Neal Shah, MD
Stony Brook Dermatology Associates, 1320 Stony Brook Road Building F, Suite 200,
Stony Brook, NY 11790
Ph: (631) 444-4200 |
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