Dr Manouchehr T Shahab, MD is a medicare enrolled "Family Medicine" physician in Midland Park, New Jersey. He graduated from medical school in 1963 and has 61 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Medwell Llc and his current practice location is
33 Central Ave, Midland Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 689-0800.
Dr Manouchehr T Shahab is licensed to practice in New Jersey (license number MA02694700) 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 1780697490.
Physician's Profile
| Full Name | Dr Manouchehr T Shahab |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 61 Years |
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| Location | 33 Central Ave, Midland Park, New Jersey |
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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 Manouchehr T Shahab graduated from medical school in 1963
NPI Data:
- NPI Number: 1780697490
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 12/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830113927
- Enrollment ID: I20060117000142
Medical Identifiers
Medical identifiers for Dr Manouchehr T Shahab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780697490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0201X | Internal Medicine - Allergy & Immunology | 25MA04825700 (New Jersey) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MA02694700 (New Jersey) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 25MA02694700 (New Jersey) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA04825700 (New Jersey) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 25MA04825700 (New Jersey) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 25MA02694700 (New Jersey) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MA02694700 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | MA02694700 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medwell Llc | 9931189776 | 10 |
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 Manouchehr T Shahab allows following entities to bill medicare on his behalf.
| Entity Name | Medwell Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659384360
PECOS PAC ID: 9931189776
Enrollment ID: O20040722000847 |
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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 Manouchehr T Shahab 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 Manouchehr T Shahab, MD
33 Central Ave,
Midland Park, NJ 07432
Ph: (201) 689-0800 | Dr Manouchehr T Shahab, MD
33 Central Ave,
Midland Park, NJ 07432
Ph: (201) 689-0800 |
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