Siddharth Shah, is a medicare enrolled "Physician Assistant" physician in Rocklin, California. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Chacon Bnk Pc and his current practice location is
2203 Plaza Dr Ste 110, Rocklin, California. You can reach out to his office (for appointments etc.) via phone at
(916) 938-2531.
Siddharth Shah is licensed to practice in * (Not Available) (license number ) 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 1275261729.
Physician's Profile
| Full Name | Siddharth Shah |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 2203 Plaza Dr Ste 110, Rocklin, California |
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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:
- Siddharth Shah graduated from medical school in 2022
NPI Data:
- NPI Number: 1275261729
- Provider Enumeration Date: 08/11/2022
- Last Update Date: 10/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214311497
- Enrollment ID: I20220907002983
Medical Identifiers
Medical identifiers for Siddharth Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275261729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | PA61439 (California) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chacon Bnk Pc | 6800332800 | 5 |
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. Siddharth Shah allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Skin Institute, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427352053
PECOS PAC ID: 8921280181
Enrollment ID: O20110309000176 |
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| Entity Name | Chacon Bnk PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174378525
PECOS PAC ID: 6800332800
Enrollment ID: O20240726000692 |
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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. Siddharth 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 |
|---|
Siddharth Shah,
2203 Plaza Dr Ste 110,
Rocklin, CA 95765-4427
Ph: (916) 938-2531 | Siddharth Shah,
2203 Plaza Dr Ste 110,
Rocklin, CA 95765-4427
Ph: (916) 938-2531 |
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