Jeffrey Duke Shahidullah, PHD in Piscataway, NJ - Medicare Psychologist Provider

Jeffrey Duke Shahidullah, PHD is a medicare enrolled "Psychologist - Clinical" provider in Piscataway, New Jersey. His current practice location is 152 Frelinghuysen Rd Ofc A353, Piscataway, New Jersey. You can reach out to his office (for appointments etc.) via phone at (848) 445-3981.

Jeffrey Duke Shahidullah is licensed to practice in Pennsylvania (license number PS018495) 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 1336612266.

Contact Information

	Jeffrey Duke Shahidullah, PHD
	152 Frelinghuysen Rd Ofc A353, Piscataway, NJ 08854-8020
	(848) 445-3981
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Duke Shahidullah
Gender	Male
Speciality	Psychologist - Clinical
Location	152 Frelinghuysen Rd Ofc A353, Piscataway, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336612266
Provider Enumeration Date: 01/03/2019
Last Update Date: 01/03/2019

Medicare PECOS Information:

PECOS PAC ID: 4587906953
Enrollment ID: I20190506000057

Medical Identifiers

Medical identifiers for Jeffrey Duke Shahidullah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336612266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS018495 (Pennsylvania)	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. Jeffrey Duke Shahidullah allows following entities to bill medicare on his behalf.

Entity Name	Tri-county Clinical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657

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. Jeffrey Duke Shahidullah 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
Jeffrey Duke Shahidullah, PHD 152 Frelinghuysen Rd Ofc A353, Piscataway, NJ 08854-8020 Ph: (848) 445-3981	Jeffrey Duke Shahidullah, PHD 152 Frelinghuysen Rd Ofc A353, Piscataway, NJ 08854-8020 Ph: (848) 445-3981

Reviews and Comments

Psychologist in Piscataway, NJ

James Walker, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln, Piscataway, NJ 08854 Phone: 800-969-5300
Linda Kost, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln, Piscataway, NJ 08854 Phone: 800-969-5300
Elaine Herzog, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln, Piscataway, NJ 08854 Phone: 800-969-5300
Dr. Marc L Steinberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln W, Piscataway, NJ 08854 Phone: 732-235-4341
Wanda Edwards, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 671 Hoes Ln, Piscataway, NJ 08854 Phone: 800-969-5300
Marie Raymond Sophie Sajous-ajax, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Centennial Ave, Piscataway, NJ 08854 Phone: 800-969-5300
Dr. Andrea Quinn, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 152 Frelinghuysen Rd, Piscataway, NJ 08854 Phone: 848-445-3906

Jeffrey Duke Shahidullah, PHD - Medicare Psychologist in Piscataway, NJ