Jay Shah, MD - Medicare Family Practice in Hartford, MI

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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.

Contact Information

Jay Shah, MD
525 S Center St,
Hartford, MI 49057-1362
(269) 463-3600
(269) 621-9972

Map and Direction




Physician's Profile

Full NameJay Shah
GenderMale
SpecialityFamily Practice
Experience16 Years
Location525 S Center St, Hartford, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1487974663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036133075 (Illinois)Secondary
207Q00000XFamily Medicine 4301103258 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland HomecareBenton harbor, MIHome health agency
Hospice At HomeSaint joseph, MIHospice
Lakeland Hospital WatervlietWatervliet, MIHospital
Lakeland Hospital, St JosephSt joseph, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Medical Practices1658427042284
Lakeland Community Hospital Watervliet741694275066

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 NameLakeland Community Hospital Watervliet
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023114741
PECOS PAC ID: 7416942750
Enrollment ID: O20040416000984
Entity NameLakeland Medical Practices
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538397120
PECOS PAC ID: 1658427042
Enrollment ID: O20090928000216

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 AddressPractice Location Address
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

Reviews and Comments


Family Medicine Doctors in Hartford, MI

Kellie Distefano, PA-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 525 S Center St, Hartford, MI 49057
Phone: 269-621-4063    Fax: 269-621-9972

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.