Dr Pravin S Shah, MD, in Des Plaines, IL - Medicare Specialist

Dr Pravin S Shah, MD, is a medicare enrolled "Specialist" physician in Des Plaines, Illinois. His current practice location is 1400e Golf Rd 222, Des Plaines, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 391-6360.

Dr Pravin S Shah is licensed to practice in Illinois (license number 036055437) 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 1467473231.

Contact Information

	Dr Pravin S Shah, MD,
	1400e Golf Rd 222, Des Plaines, IL 60016-1252
	(847) 391-6360
	(847) 391-6360

Physician's Profile

Full Name	Dr Pravin S Shah
Gender	Male
Speciality	Specialist
Location	1400e Golf Rd 222, Des Plaines, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467473231
Provider Enumeration Date: 07/21/2006
Last Update Date: 07/07/2015

Medicare PECOS Information:

PECOS PAC ID: 9830292473
Enrollment ID: I20070320000052

Medical Identifiers

Medical identifiers for Dr Pravin S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467473231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036055437 (Illinois)	Secondary
174400000X	Specialist	036055437 (Illinois)	Primary

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. Dr Pravin S 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
Dr Pravin S Shah, MD, 1400e Golf Rd 222, Des Plaines, IL 60016-1252 Ph: (847) 391-6360	Dr Pravin S Shah, MD, 1400e Golf Rd 222, Des Plaines, IL 60016-1252 Ph: (847) 391-6360

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Dr Pravin S Shah, MD, - Medicare Specialist in Des Plaines, IL