Jay Jitendrakumar Shah, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 343-7774.
Jay Jitendrakumar Shah is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285166264.
Physician's Profile
Full Name | Jay Jitendrakumar Shah |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 22101 Moross Rd, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285166264
- Provider Enumeration Date: 03/29/2017
- Last Update Date: 10/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325424518
- Enrollment ID: I20220926000437
Medical Identifiers
Medical identifiers for Jay Jitendrakumar Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285166264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35.144054 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jay Jitendrakumar Shah allows following entities to bill medicare on his behalf.
Entity Name | Hospitalist Medicine Physicians Of Richland County, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639119027 PECOS PAC ID: 4284538430 Enrollment ID: O20031120000557 |
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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. Jay Jitendrakumar 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 |
Jay Jitendrakumar Shah, MD 22201 Moross Rd Ste 50, Detroit, MI 48236-2166 Ph: (313) 343-7774 | Jay Jitendrakumar Shah, MD 22101 Moross Rd, Detroit, MI 48236-2148 Ph: (313) 343-7774 |
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