Khushbu Rajesh Shah, AGNP in Charlotte, NC - Medicare Nurse Practitioner

Khushbu Rajesh Shah, AGNP is a medicare enrolled "Nurse Practitioner" in Charlotte, North Carolina. Her current practice location is 14135 Ballantyne Corporate Pl Ste 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 488-9520.

Khushbu Rajesh Shah is licensed to practice in North Carolina (license number 5020052) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942060967.

Contact Information

	Khushbu Rajesh Shah, AGNP
	14135 Ballantyne Corporate Pl Ste 200, Charlotte, NC 28277-0768
	(980) 488-9520
	(980) 488-9525

Map and Direction

Provider's Profile

Full Name	Khushbu Rajesh Shah
Gender	Female
Speciality	Nurse Practitioner
Location	14135 Ballantyne Corporate Pl Ste 200, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942060967
Provider Enumeration Date: 03/19/2024
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 8628510088
Enrollment ID: I20240613000268

Medical Identifiers

Medical identifiers for Khushbu Rajesh Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942060967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5020052 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5020052 (North Carolina)	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. Khushbu Rajesh Shah allows following entities to bill medicare on her behalf.

Entity Name	Novant Health Thomasville Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916

Entity Name	Southeast Radiation Oncology Group, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568400109 PECOS PAC ID: 1254233950 Enrollment ID: O20040123000049

Entity Name	The Presbyterian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121

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. Khushbu Rajesh 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
Khushbu Rajesh Shah, AGNP Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Khushbu Rajesh Shah, AGNP 14135 Ballantyne Corporate Pl Ste 200, Charlotte, NC 28277-0768 Ph: (980) 488-9520

Reviews and Comments

Nurse Practitioner Nurses in Charlotte, NC

Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353
Solim Tchedre, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Randolph Rd Ste 800, Charlotte, NC 28207 Phone: 704-384-1246 Fax: 704-384-6072

Khushbu Rajesh Shah, AGNP - Medicare Nurse Practitioner in Charlotte, NC