Dr Tyson Shardlow, DC is a medicare enrolled "Chiropractor" provider in Lisbon Falls, Maine. He went to New York Chiropractic College and graduated in 2003 and has 21 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Hoyt Chiropractic Center Pc and his current practice location is
694 Lisbon St, Lisbon Falls, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 353-6310.
Dr Tyson Shardlow is licensed to practice in Maine (license number CR1404) 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 1568521896.
Healthcare Provider's Profile
| Full Name | Dr Tyson Shardlow |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 21 Years |
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| Location | 694 Lisbon St, Lisbon Falls, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tyson Shardlow attended and graduated from New York Chiropractic College in 2003
NPI Data:
- NPI Number: 1568521896
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 03/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214994912
- Enrollment ID: I20041214000951
Medical Identifiers
Medical identifiers for Dr Tyson Shardlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568521896 | NPI | - | NPPES |
| 048519 | Other | ME | BLUECROSS-BLUESHIELD |
| AA22147 | Other | ME | HARVARD PILGRIM |
| 421290099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CR1404 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hoyt Chiropractic Center Pc | 3870908627 | 3 |
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. Dr Tyson Shardlow allows following entities to bill medicare on his behalf.
| Provider Name | Hoyt Chiropractic Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1760788442
PECOS PAC ID: 3870908627
Enrollment ID: O20210209001915 |
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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. Dr Tyson Shardlow 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 Tyson Shardlow, DC
694 Lisbon St,
Lisbon Falls, ME 04252-1230
Ph: (207) 353-6310 | Dr Tyson Shardlow, DC
694 Lisbon St,
Lisbon Falls, ME 04252-1230
Ph: (207) 353-6310 |
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