Mr Dipam Jashwant Shah, AA is a medicare enrolled "Anesthesiologist Assistant" physician in Jacksonville, Florida. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice North Florida Anesthesia Consultants Inc and his current practice location is
2165 Herschel St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 387-4030.
Mr Dipam Jashwant Shah is licensed to practice in Florida (license number AA437) 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 1760985782.
Physician's Profile
| Full Name | Mr Dipam Jashwant Shah |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 8 Years |
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| Location | 2165 Herschel St, Jacksonville, Florida |
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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:
- Mr Dipam Jashwant Shah graduated from medical school in 2017
NPI Data:
- NPI Number: 1760985782
- Provider Enumeration Date: 03/15/2018
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921369810
- Enrollment ID: I20180312001211
Medical Identifiers
Medical identifiers for Mr Dipam Jashwant Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760985782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | AA437 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA437 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Florida Anesthesia Consultants Inc | 7416869565 | 103 |
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. Mr Dipam Jashwant Shah allows following entities to bill medicare on his behalf.
| Entity Name | North Florida Anesthesia Consultants Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346236866
PECOS PAC ID: 7416869565
Enrollment ID: O20031105000664 |
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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. Mr Dipam Jashwant 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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Mr Dipam Jashwant Shah, AA
11212 Engineering Way,
Jacksonville, FL 32256-8195
Ph: (904) 536-6456 | Mr Dipam Jashwant Shah, AA
2165 Herschel St,
Jacksonville, FL 32204-3819
Ph: (904) 387-4030 |
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