Dr Shad Demar Roundy, DMD - Medicare Dentist in Anderson, IN

Dr Shad Demar Roundy, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Anderson, Indiana. His current practice location is 1601 Medical Arts Blvd Ste 301, Anderson, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 298-4400.

Dr Shad Demar Roundy is licensed to practice in Indiana (license number 12012276A) 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 1164492104.

Contact Information

Dr Shad Demar Roundy, DMD
1601 Medical Arts Blvd Ste 301,
Anderson, IN 46011-3460
(765) 298-4400
(765) 298-4940

Map and Direction




Healthcare Provider's Profile

Full NameDr Shad Demar Roundy
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1601 Medical Arts Blvd Ste 301, Anderson, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164492104
  • Provider Enumeration Date: 01/24/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941510846
  • Enrollment ID: I20151105000323

Medical Identifiers

Medical identifiers for Dr Shad Demar Roundy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164492104NPI-NPPES
DD0083MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 173 (Alaska)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 12012276A (Indiana)Primary
1223S0112XDentist - Oral And Maxillofacial Surgery 12012276B (Indiana)Secondary

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 Shad Demar Roundy 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
Dr Shad Demar Roundy, DMD
1601 Medical Arts Blvd Ste 301,
Anderson, IN 46011-3460

Ph: (765) 298-4400
Dr Shad Demar Roundy, DMD
1601 Medical Arts Blvd Ste 301,
Anderson, IN 46011-3460

Ph: (765) 298-4400

Reviews and Comments


Dentist in Anderson, IN

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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