| Austin James Shackelford, DMD | |
|
675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | |
| (570) 808-5626 | |
| (570) 808-6352 |
| Full Name | Austin James Shackelford |
|---|---|
| Gender | Male |
| Speciality | Oral And Maxillofacial Pathology |
| Experience | 8 Years |
| Location | 675 Baltimore Dr, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558864140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS045082 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger Clinic | 5395657001 | 3429 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin James Shackelford, DMD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-5626 | Austin James Shackelford, DMD 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 Ph: (570) 808-5626 |
Dr. Kyle Bryan Frazier, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 675 Baltimore Dr, Wilkes Barre, PA 18702 Phone: 570-808-5626 Fax: 570-808-6352 | |
Dr. Steven Anthony Bonomo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 369 S Main St, Wilkes Barre, PA 18701 Phone: 570-829-7863 Fax: 570-822-7478 | |
Dr. Meghan K Tsakalos, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 29 Bear Creek Blvd, Wilkes Barre, PA 18702 Phone: 570-550-0893 | |
Summer Gavin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 | |
Dr. Pasquale Carmen Damico, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 N Pennsylvania Ave, Wilkes Barre, PA 18701 Phone: 570-970-2864 | |
Scott Peters, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-819-5626 Fax: 570-808-6352 | |
Mr. Ahmed Amer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 East End Blvd, Wilkes Barre, PA 18711 Phone: 570-824-3521 |