John E Shallat, MD in Deer Park, NY - Medicare Emergency Medicine

John E Shallat, MD is a medicare enrolled "Emergency Medicine" physician in Deer Park, New York. He went to University Of Cincinnati College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is 1930 Deer Park Ave, Deer Park, New York. You can reach out to his office (for appointments etc.) via phone at (631) 254-5900.

John E Shallat is licensed to practice in New York (license number 219990-1) 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 1538379599.

Contact Information

	John E Shallat, MD
	1930 Deer Park Ave, Deer Park, NY 11729-3328
	(631) 254-5900
	(631) 392-0948

Map and Direction

Physician's Profile

Full Name	John E Shallat
Gender	Male
Speciality	Emergency Medicine
Experience	26 Years
Location	1930 Deer Park Ave, Deer Park, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John E Shallat attended and graduated from University Of Cincinnati College Of Medicine in 1998

NPI Data:

NPI Number: 1538379599
Provider Enumeration Date: 05/22/2007
Last Update Date: 12/06/2019

Medicare PECOS Information:

PECOS PAC ID: 9931372182
Enrollment ID: I20111103000135

Medical Identifiers

Medical identifiers for John E Shallat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538379599	NPI	-	NPPES
02322681	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	219990-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Medical Of Upper East Side Pllc	0648465039	759

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. John E Shallat allows following entities to bill medicare on his behalf.

Entity Name	City Medical Of Upper East Side Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801277629 PECOS PAC ID: 0648465039 Enrollment ID: O20101111000052

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. John E Shallat 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
John E Shallat, MD 1345 Rxr Plz Fl 13, Uniondale, NY 11556-1301 Ph: (516) 453-0435	John E Shallat, MD 1930 Deer Park Ave, Deer Park, NY 11729-3328 Ph: (631) 254-5900

John E Shallat, MD - Medicare Emergency Medicine in Deer Park, NY