Jay Shah, MD is a medicare enrolled "Family Medicine" physician in Hartford, Michigan. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakeland Medical Practices, Lakeland Community Hospital Watervliet and his current practice location is
525 S Center St, Hartford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 463-3600.
Jay Shah is licensed to practice in Michigan (license number 4301103258) 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 1487974663.
Physician's Profile
| Full Name | Jay Shah |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 16 Years |
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| Location | 525 S Center St, Hartford, Michigan |
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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:
- Jay Shah graduated from medical school in 2010
NPI Data:
- NPI Number: 1487974663
- Provider Enumeration Date: 06/10/2010
- Last Update Date: 08/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 1658506373
- Enrollment ID: I20131104001500
Medical Identifiers
Medical identifiers for Jay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487974663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036133075 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 4301103258 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Lakeland Community Hospital Watervliet | 7416942750 | 41 |
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 Shah allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Community Hospital Watervliet |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023114741
PECOS PAC ID: 7416942750
Enrollment ID: O20040416000984 |
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| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216 |
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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 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 |
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Jay Shah, MD
525 S Center St,
Hartford, MI 49057-1362
Ph: (269) 463-3600 | Jay Shah, MD
525 S Center St,
Hartford, MI 49057-1362
Ph: (269) 463-3600 |
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