| Dr Sajid Hussain Shah, MD | |
|
1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 | |
| (817) 684-2700 | |
| (817) 684-2709 |
| Full Name | Dr Sajid Hussain Shah |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 20 Years |
| Location | 1604 Hospital Pkwy Ste 501, Bedford, Texas |
| 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 |
|---|---|---|---|
| 1497920953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 252282 (ZZ) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | Q3287 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White Square Vascular Surgery Pa | 5890791735 | 6 |
| Washington Cardiovascular Institute, Llc | 7517903982 | 13 |
| Washington Cardiovascular Institute, Llc | 7517903982 | 13 |
| Entity Name | White Square Vascular Surgery Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285666008 PECOS PAC ID: 5890791735 Enrollment ID: O20061016000579 |
| Entity Name | Washington Cardiovascular Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205835485 PECOS PAC ID: 7517903982 Enrollment ID: O20170104001162 |
| Entity Name | Washington Vascular Specialists Of Baltimore |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346905437 PECOS PAC ID: 9436540333 Enrollment ID: O20220104001835 |
| Entity Name | Wvs Frederick Asc Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1386391332 PECOS PAC ID: 8224416045 Enrollment ID: O20220607003393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sajid Hussain Shah, MD 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 Ph: (817) 684-2700 | Dr Sajid Hussain Shah, MD 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 Ph: (817) 684-2700 |
Dr. Peter Edward Grays, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1909 Central Dr, Ste. 202, Bedford, TX 76021 Phone: 817-571-4620 Fax: 817-571-4701 | |
Collin D Gandillon, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1604 Hospital Pkwy Ste 501, Bedford, TX 76022 Phone: 817-684-2700 Fax: 817-684-2709 | |
Dr. James D. Poettcker, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1604 Hospital Parkway, #505, Bedford, TX 76022 Phone: 817-267-2678 Fax: 817-354-0854 | |
Jerry Thomas Light Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1604 Hospital Pkwy Ste 501, Bedford, TX 76022 Phone: 817-684-2700 Fax: 817-684-2709 | |
Catherine Michelle Jennings, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1609 Hospital Pkwy, Bedford, TX 76022 Phone: 817-662-0008 | |
Benjamin Todd Drury, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 121, Bedford, TX 76021 Phone: 817-540-4477 Fax: 817-510-0185 |