Sushma V Shah, MD in Modesto, CA - Medicare Emergency Medicine

Sushma V Shah, MD is a medicare enrolled "Emergency Medicine" physician in Modesto, California. Her current practice location is 4301 N Star Way, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 342-2300.

Sushma V Shah is licensed to practice in California (license number A66980) 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 1104817527.

Contact Information

	Sushma V Shah, MD
	4301 N Star Way, Modesto, CA 95356-9262
	(209) 342-2300
	(209) 524-4240

Physician's Profile

Full Name	Sushma V Shah
Gender	Female
Speciality	Emergency Medicine
Location	4301 N Star Way, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104817527
Provider Enumeration Date: 11/03/2005
Last Update Date: 07/12/2007

Medicare PECOS Information:

PECOS PAC ID: 0042300923
Enrollment ID: I20080708000684

Medical Identifiers

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

Identifier	Type	State	Issuer
1104817527	NPI	-	NPPES
00A669800	Medicaid	CA
00A669800	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A66980 (California)	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. Sushma V Shah allows following entities to bill medicare on her behalf.

Entity Name	Eden Emergency Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891786240 PECOS PAC ID: 7012802333 Enrollment ID: O20040217000163

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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. Sushma V 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
Sushma V Shah, MD 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 Ph: (510) 889-5092	Sushma V Shah, MD 4301 N Star Way, Modesto, CA 95356-9262 Ph: (209) 342-2300

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Emergency Medicine Doctors in Modesto, CA

John Joseph Gallo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3800 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Pallavi Sharma, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Phillip Michael Chan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Emergency Department, Modesto, CA 95350 Phone: 650-388-6383
Dr. Paul Anthony Raykov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000
Gregory P. Bowerman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7600
Christopher Samuel Lau, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-6810

Sushma V Shah, MD - Medicare Emergency Medicine in Modesto, CA

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Emergency Medicine Doctors in Modesto, CA