Dr Manan Udayan Shah, MD is a medicare enrolled "Otolaryngology" physician in Lakewood, Colorado. He went to University Of Maryland School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Erik W. Kreutzer, M.d., P.c., Dba Colorado Ear, Nose And Throat Group and his current practice location is
255 Union Blvd Ste 220, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 238-1366.
Dr Manan Udayan Shah is licensed to practice in Colorado (license number DR.0062667) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679912067.
Physician's Profile
| Full Name | Dr Manan Udayan Shah |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 12 Years |
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| Location | 255 Union Blvd Ste 220, Lakewood, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Manan Udayan Shah attended and graduated from University Of Maryland School Of Medicine in 2012
NPI Data:
- NPI Number: 1679912067
- Provider Enumeration Date: 06/18/2013
- Last Update Date: 11/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5597085332
- Enrollment ID: I20191115000795
Medical Identifiers
Medical identifiers for Dr Manan Udayan Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679912067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | D84772 (Maryland) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | DR.0062667 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Erik W. Kreutzer, M.d., P.c., Dba Colorado Ear, Nose And Throat Group | 2264322478 | 3 |
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 Manan Udayan Shah allows following entities to bill medicare on his behalf.
| Entity Name | Erik W. Kreutzer, M.d., P.c., Dba Colorado Ear, Nose & Throat Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346411410
PECOS PAC ID: 2264322478
Enrollment ID: O20040319000062 |
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| Entity Name | Advanced Ear, Nose & Throat, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710065446
PECOS PAC ID: 4183616352
Enrollment ID: O20040330001749 |
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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 Manan Udayan 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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Dr Manan Udayan Shah, MD
255 Union Blvd Ste 220,
Lakewood, CO 80228-1833
Ph: (303) 238-1366 | Dr Manan Udayan Shah, MD
255 Union Blvd Ste 220,
Lakewood, CO 80228-1833
Ph: (303) 238-1366 |
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