Shristi Shah, MD - Medicare Psychiatry & Neurology in Grandville, MI

Shristi Shah, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Grandville, Michigan. Her current practice location is 4211 Parkway Pl Sw, Grandville, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 222-3700.

Shristi Shah is licensed to practice in Michigan (license number 4301100311) 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 1639303712.

Contact Information

Shristi Shah, MD
4211 Parkway Pl Sw,
Grandville, MI 49418-2695
(616) 222-3700
Not Available



Physician's Profile

Full NameShristi Shah
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location4211 Parkway Pl Sw, Grandville, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639303712
  • Provider Enumeration Date: 05/05/2009
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375790710
  • Enrollment ID: I20150918002476

Medical Identifiers

Medical identifiers for Shristi Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639303712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 4301100311 (Michigan)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. Shristi Shah allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Shristi 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 AddressPractice Location Address
Shristi Shah, MD
300 68th St Se,
Grand Rapids, MI 49548-6927

Ph: (616) 455-5000
Shristi Shah, MD
4211 Parkway Pl Sw,
Grandville, MI 49418-2695

Ph: (616) 222-3700

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Psychiatry & Neurology Doctors in Grandville, MI

Nan Beth Alt, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 151 44th Street, S.w., Grandville, MI 49418
Phone: 616-457-1889    Fax: 616-457-1891
Dr. Ryan Joseph Yoon, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4211 Parkway Place Dr Sw, Grandville, MI 49418
Phone: 616-222-3700    
Michael Bernard Karluk, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4211 Parkway Pl Sw, Grandville, MI 49418
Phone: 616-222-3700    
Dr. Jonathan James Dargo, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 4211 Parkway Pl Sw, Grandville, MI 49418
Phone: 616-222-3700    

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