Dr Carla Jean Shah, MD - Medicare Diagnostic Radiology in Mequon, WI

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Dr Carla Jean Shah, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mequon, Wisconsin. She went to Southern Illinois University School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Premier Radiology Wisconsin Llc and her current practice location is 10945 N Port Washington Rd Ste 201, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 292-3151.

Dr Carla Jean Shah is licensed to practice in Wisconsin (license number 50269-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336226646.

Contact Information

Dr Carla Jean Shah, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078
(262) 292-3151
(414) 434-0467

Map and Direction




Physician's Profile

Full NameDr Carla Jean Shah
GenderFemale
SpecialityDiagnostic Radiology
Experience14 Years
Location10945 N Port Washington Rd Ste 201, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carla Jean Shah attended and graduated from Southern Illinois University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1336226646
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961536511
  • Enrollment ID: I20100818000051

Medical Identifiers

Medical identifiers for Dr Carla Jean Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336226646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 50269-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Radiology Wisconsin Llc953759553372

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 Carla Jean Shah allows following entities to bill medicare on her behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameWisconsin Radiology Specialists S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568446003
PECOS PAC ID: 2961314091
Enrollment ID: O20031105000585
Entity NamePremier Radiology Wisconsin Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952951154
PECOS PAC ID: 9537595533
Enrollment ID: O20200211002818
Entity NamePrecision Radiology - Illinois Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265156640
PECOS PAC ID: 6305218298
Enrollment ID: O20230201002800

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 Carla Jean 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 AddressPractice Location Address
Dr Carla Jean Shah, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151		Dr Carla Jean Shah, MD
10945 N Port Washington Rd Ste 201,
Mequon, WI 53092-5078

Ph: (262) 292-3151

Reviews and Comments


Radiology Doctors in Mequon, WI

Timothy L Workman, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
John Tomashek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Eric M Dorn, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Cynthia Rice, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Djerrick Cu Tan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 262-292-3151    
Benjamin Broghammer, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    
Michael Braun, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 10945 N Port Washington Rd Ste 201, Mequon, WI 53092
Phone: 414-434-0461    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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