Mirab Mickey Shah, PT in Tinley Park, IL - Medicare Physical Therapy Provider

Mirab Mickey Shah, PT is a medicare enrolled "Physical Therapist" provider in Tinley Park, Illinois. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Goodlife Physical Therapy and his current practice location is 7700 Graphic Dr, Tinley Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 308-7919.

Mirab Mickey Shah is licensed to practice in Illinois (license number 070013727) 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 1902079981.

Contact Information

	Mirab Mickey Shah, PT
	7700 Graphic Dr, Tinley Park, IL 60477-6228
	(708) 308-7919
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mirab Mickey Shah
Gender	Male
Speciality	Physical Therapy
Experience	21 Years
Location	7700 Graphic Dr, Tinley Park, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mirab Mickey Shah graduated from medical school in 2003

NPI Data:

NPI Number: 1902079981
Provider Enumeration Date: 04/10/2008
Last Update Date: 02/14/2019

Medicare PECOS Information:

PECOS PAC ID: 4880763515
Enrollment ID: I20080520000773

Medical Identifiers

Medical identifiers for Mirab Mickey Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902079981	NPI	-	NPPES
1619908	Other	IL	BCBS IL GROUP
568080	Other	IL	MEDICARE GROUP NUMBER
567700	Other	IL	MEDICARE GROUP NUMBER
568150	Other	IL	MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070013727 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Goodlife Physical Therapy	6608924865	7

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. Mirab Mickey Shah allows following entities to bill medicare on his behalf.

Provider Name	Goodlife Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1053557264 PECOS PAC ID: 6608924865 Enrollment ID: O20101202000593

Provider Name	Oconnor Foundation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1891978482 PECOS PAC ID: 6103097522 Enrollment ID: O20171030001327

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. Mirab Mickey 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
Mirab Mickey Shah, PT 16517 106th Ct, Orland Park, IL 60467-4545 Ph: (708) 966-4386	Mirab Mickey Shah, PT 7700 Graphic Dr, Tinley Park, IL 60477-6228 Ph: (708) 308-7919

Reviews and Comments

Physical Therapist in Tinley Park, IL

Ptsir Industrial Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17236 Harlem Ave, Tinley Park, IL 60477 Phone: 708-633-8379 Fax: 708-633-8614
Joshua Gruenke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S. Harlem Avenue, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115
Patrick Becker, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17837 80th Ave, Tinley Park, IL 60477 Phone: 708-342-2500 Fax: 708-342-1454
Ms. Lalitha R Karra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17838 Harper Rd, Tinley Park, IL 60477 Phone: 708-532-5350 Fax: 815-550-8703
Margaret L Leise, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16651 Harlem Ave, Tinley Park, IL 60477 Phone: 708-444-2838 Fax: 708-444-3031
Goodlife Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 7700 Graphic Dr, Tinley Park, IL 60477 Phone: 708-308-7919
Elizabeth A Rodgers, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17129 S Harlem Ave, Ste B3, Tinley Park, IL 60477 Phone: 630-967-2000 Fax: 708-745-5115

Mirab Mickey Shah, PT - Medicare Physical Therapist in Tinley Park, IL