Dr Kulsoom Shah, MD in Stony Brook, NY - Medicare Family Medicine

Dr Kulsoom Shah, MD is a medicare enrolled "Family Medicine" physician in Stony Brook, New York. Her current practice location is 1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 632-6740.

Dr Kulsoom Shah is licensed to practice in New York (license number 224192-1) 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 1114920360.

Contact Information

	Dr Kulsoom Shah, MD
	1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, NY 11794-0001
	(631) 632-6740
	(631) 632-6936

Map and Direction

Physician's Profile

Full Name	Dr Kulsoom Shah
Gender	Female
Speciality	Family Medicine
Location	1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, 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: 1114920360
Provider Enumeration Date: 05/23/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4385962927
Enrollment ID: I20150413000273

Medical Identifiers

Medical identifiers for Dr Kulsoom Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114920360	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	224192-1 (New York)	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 Kulsoom 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 Kulsoom Shah, MD 52 Avalon Cir, Smithtown, NY 11787-3855 Ph: (631) 863-1634	Dr Kulsoom Shah, MD 1 Stadium Rd,student Health Center,stonybrook Univ, Stony Brook, NY 11794-0001 Ph: (631) 632-6740

Reviews and Comments

Family Medicine Doctors in Stony Brook, NY

Lucas James Mcarthur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794 Phone: 631-444-2754 Fax: 631-444-6031
Dr. William James Robbins, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4 Meadow Dr, Stony Brook, NY 11790 Phone: 631-741-4323 Fax: 631-751-6488
Dr. Sujatha Konnanath Palat, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1stadium Rd,student Health Service, Stonybrook Univ, Stony Brook, NY 11794 Phone: 631-632-6740 Fax: 631-632-6936
Dr. Derek Noel Mattimoe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790 Phone: 631-751-3322 Fax: 631-751-3844
Dr. Gretchen L Mockler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Stony Brook Family Medicine, Hsc L4 Room 050, Stony Brook, NY 11794 Phone: 631-444-8430
Dr. Michael Mark Fishkin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 Nesconset Hwy, Bldg 7d, Stony Brook, NY 11790 Phone: 631-751-3322 Fax: 631-751-3844

Dr Kulsoom Shah, MD - Medicare Family Medicine in Stony Brook, NY