Ravi Shah, PSYD in Romeoville, IL - Medicare Clinical Psychologist Provider

Ravi Shah, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Romeoville, Illinois. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Dupage Medical Group Ltd and his current practice location is 1239 Windham Pkwy, Romeoville, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 942-6323.

Ravi Shah is licensed to practice in Illinois (license number 071009954) 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 1396209383.

Contact Information

	Ravi Shah, PSYD
	1239 Windham Pkwy, Romeoville, IL 60446-1608
	(815) 942-6323
	(779) 210-5541

Map and Direction

Healthcare Provider's Profile

Full Name	Ravi Shah
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	1239 Windham Pkwy, Romeoville, 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:

Ravi Shah graduated from medical school in 2017

NPI Data:

NPI Number: 1396209383
Provider Enumeration Date: 01/24/2019
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5092053868
Enrollment ID: I20190221000532

Medical Identifiers

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

Identifier	Type	State	Issuer
1396209383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009954 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dupage Medical Group Ltd	5496667941	1209

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. Ravi Shah allows following entities to bill medicare on his behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

Entity Name	Institute For Personal Development
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942247895 PECOS PAC ID: 6608780481 Enrollment ID: O20031117000178

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. Ravi 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
Ravi Shah, PSYD Po Box 713260, Chicago, IL 60677-0264 Ph: (630) 469-9200	Ravi Shah, PSYD 1239 Windham Pkwy, Romeoville, IL 60446-1608 Ph: (815) 942-6323

Reviews and Comments

Psychologist in Romeoville, IL

Mary Elizabeth Wurster, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 801 W Normantown Rd, Romeoville, IL 60446 Phone: 815-886-2700
Dr. Kristy Kipka, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1914 Trafalgar Dr, Romeoville, IL 60446 Phone: 773-593-6856
Dr. David Heber Brooks, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Phelps Avenue, Romeoville, IL 60446 Phone: 815-372-8950 Fax: 815-372-8960
Pamela Grace, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1239 Windham Pkwy, Romeoville, IL 60446 Phone: 815-942-6323 Fax: 779-210-5541
Kristina Maria Bouros, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1239 Windham Pkwy, Romeoville, IL 60446 Phone: 815-942-6323 Fax: 779-210-5541
Lukasz Konopka, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1239 Windham Pkwy, Romeoville, IL 60446 Phone: 815-942-6323 Fax: 779-210-5541
Jessica Adams, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1239 Windham Pkwy, Romeoville, IL 60446 Phone: 815-942-6323 Fax: 779-210-5541

Ravi Shah, PSYD - Medicare Psychologist in Romeoville, IL