Dr Shelley S Bath, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Middleport, New York. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Alliance Pc, Virtual Radiologic Professionals Of California Pa and his current practice location is
14 Locust Dr, Middleport, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 989-9325.
Dr Shelley S Bath is licensed to practice in California (license number A105524) 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 1982866877.
Physician's Profile
| Full Name | Dr Shelley S Bath |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 21 Years |
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| Location | 14 Locust Dr, Middleport, New York |
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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 Shelley S Bath graduated from medical school in 2003
NPI Data:
- NPI Number: 1982866877
- Provider Enumeration Date: 07/01/2008
- Last Update Date: 04/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 0446311120
- Enrollment ID: I20081213000105
Medical Identifiers
Medical identifiers for Dr Shelley S Bath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982866877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 249150 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A105524 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Radiology Alliance Pc | 1850280470 | 204 |
| Virtual Radiologic Professionals Of California Pa | 7719989342 | 49 |
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 Shelley S Bath allows following entities to bill medicare on his behalf.
| Entity Name | Virtual Radiologic Professionals Of California Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881792166
PECOS PAC ID: 7719989342
Enrollment ID: O20070209000351 |
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| Entity Name | Radiology Alliance Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20130603000012 |
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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 Shelley S Bath 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 Shelley S Bath, MD
14 Locust Dr,
Middleport, NY 14105-1310
Ph: (716) 989-9325 | Dr Shelley S Bath, MD
14 Locust Dr,
Middleport, NY 14105-1310
Ph: (716) 989-9325 |
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