Dr Anush Shah, DMD, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Farmington, Connecticut. His current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-3004.
Dr Anush Shah is licensed to practice in Connecticut (license number 13407) 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 1649813247.
Healthcare Provider's Profile
Full Name | Dr Anush Shah |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 263 Farmington Ave, Farmington, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649813247
- Provider Enumeration Date: 10/26/2019
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325446958
- Enrollment ID: I20211012000584
Medical Identifiers
Medical identifiers for Dr Anush Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649813247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 22DI02786500 (New Jersey) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 13407 (Connecticut) | Primary |
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 Anush 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 Anush Shah, DMD, MD 2909 Washington Rd Ste 135, Parlin, NJ 08859-1588 Ph: (630) 696-8999 | Dr Anush Shah, DMD, MD 263 Farmington Ave, Farmington, CT 06030-1590 Ph: (860) 679-3004 |
Reviews and Comments