Neil Shah, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Schaumburg, Illinois. His current practice location is
519 S Roselle Rd, Schaumburg, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 985-0600.
Neil Shah is licensed to practice in Illinois (license number 036123054) 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 1487801312.
Physician's Profile
| Full Name | Neil Shah |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 519 S Roselle Rd, Schaumburg, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487801312
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 05/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739359217
- Enrollment ID: I20110822000106
Medical Identifiers
Medical identifiers for Neil Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487801312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 036123054 (Illinois) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 036123054 (Illinois) | 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. Neil Shah allows following entities to bill medicare on his behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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| Entity Name | Northwest Community Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134433154
PECOS PAC ID: 3375737331
Enrollment ID: O20101103000837 |
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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. Neil 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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Neil Shah, DO
519 S Roselle Rd,
Schaumburg, IL 60193-2925
Ph: (847) 985-0600 | Neil Shah, DO
519 S Roselle Rd,
Schaumburg, IL 60193-2925
Ph: (847) 985-0600 |
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