| Dr Pratish H Shah, MD | |
|
1 Medical Village Dr, Edgewood, KY 41017-3403 | |
| (859) 301-2238 | |
| (859) 301-4946 |
| Full Name | Dr Pratish H Shah |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 19 Years |
| Location | 1 Medical Village Dr, Edgewood, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467615708 | NPI | - | NPPES |
| 201036000 | Medicaid | IN | |
| 7100177250 | Medicaid | KY | |
| 0052765 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01069939A (Indiana) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 44467 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Elizabeth Medical Center, Inc | 0648174623 | 123 |
| St Elizabeth Medical Center, Inc | 0648174623 | 123 |
| Entity Name | St Elizabeth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20050510000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pratish H Shah, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-4000 | Dr Pratish H Shah, MD 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 301-2238 |
Dr. Stephen G Moeller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Byron W Marks, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Walter R Eiseman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Richard H Laib, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. James J Roebker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
Dr. Elizabeth A P Reichard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 | |
David Jerome Lubbers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932 |