Dr Shawn C Boehm, DDS,MD in St Joseph, MO - Medicare Dentist Provider

Dr Shawn C Boehm, DDS,MD is a medicare enrolled "Dentist" provider in St Joseph, Missouri. His current practice location is 3109 Frederick Avenue, Suite A, St Joseph, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 364-4774.

Dr Shawn C Boehm is licensed to practice in Missouri (license number 2018019668) 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 1902397250.

Contact Information

	Dr Shawn C Boehm, DDS,MD
	3109 Frederick Avenue, Suite A, St Joseph, MO 64506
	(816) 364-4774
	(816) 364-4373

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shawn C Boehm
Gender	Male
Speciality	Dentist
Location	3109 Frederick Avenue, St Joseph, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902397250
Provider Enumeration Date: 05/22/2018
Last Update Date: 11/18/2025

Medicare PECOS Information:

PECOS PAC ID: 2567719040
Enrollment ID: I20190821000833

Medical Identifiers

Medical identifiers for Dr Shawn C Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902397250	NPI	-	NPPES
400056658	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2018019668 (Missouri)	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. Dr Shawn C Boehm allows following entities to bill medicare on his behalf.

Entity Name	Swope Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689760076 PECOS PAC ID: 5294644530 Enrollment ID: O20040416000940

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 Shawn C Boehm 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 Shawn C Boehm, DDS,MD 3109 Frederick Avenue, Suite A, St Joseph, MO 64506 Ph: (816) 364-4774	Dr Shawn C Boehm, DDS,MD 3109 Frederick Avenue, Suite A, St Joseph, MO 64506 Ph: (816) 364-4774

Reviews and Comments

Dentist in St Joseph, MO

Dr. Robert Keith Burgess, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 North 24 Street, St Joseph, MO 64506 Phone: 816-364-5137
Daniel B Nigus, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3904 Beck Road, Ste 130, St Joseph, MO 64506 Phone: 316-364-6467 Fax: 816-233-4725
Timothy J Curry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3815 Beck Road, St Joseph, MO 64506 Phone: 816-233-0142 Fax: 816-364-2048
Dr. John K Hague, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1009 B St Maartens Dr, Ste B, St Joseph, MO 64506 Phone: 816-232-5222
Dr. Matthew Robert Noyce, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Jules St, Suite 440, St Joseph, MO 64501 Phone: 816-364-1911

Dr Shawn C Boehm, DDS,MD - Medicare Dentist in St Joseph, MO