Lea Van Kline-shivers, DMD in Niles, OH - Medicare Dentist Provider

Lea Van Kline-shivers, DMD is a medicare enrolled "Dentist - General Practice" provider in Niles, Ohio. Her current practice location is 5700 Youngstown Warren Rd Ste 107, Niles, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 652-3900.

Lea Van Kline-shivers is licensed to practice in Ohio (license number 30.026183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790342863.

Contact Information

	Lea Van Kline-shivers, DMD
	5700 Youngstown Warren Rd Ste 107, Niles, OH 44446-4707
	(330) 652-3900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lea Van Kline-shivers
Gender	Female
Speciality	Dentist - General Practice
Location	5700 Youngstown Warren Rd Ste 107, Niles, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790342863
Provider Enumeration Date: 05/23/2019
Last Update Date: 05/03/2026

Medicare PECOS Information:

PECOS PAC ID: 7416287966
Enrollment ID: I20250429000641

Medical Identifiers

Medical identifiers for Lea Van Kline-shivers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790342863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30.026183 (Ohio)	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. Lea Van Kline-shivers allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Physicians Youngstown Specialty Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835

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. Lea Van Kline-shivers 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
Lea Van Kline-shivers, DMD 4225 Rush Blvd, Youngstown, OH 44512-1262 Ph: (330) 261-2434	Lea Van Kline-shivers, DMD 5700 Youngstown Warren Rd Ste 107, Niles, OH 44446-4707 Ph: (330) 652-3900

Reviews and Comments

Dentist in Niles, OH

Thomas Kalasky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 Youngstown Warren Rd, Suite G, Niles, OH 44446 Phone: 330-652-8044
Dr. John Charles Tiffee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6285 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-9224
Dr. Alfred Scott Santucci, DMD Dentist Medicare: Medicare Enrolled Practice Location: 827 Robbins Ave, Niles, OH 44446 Phone: 330-652-2676 Fax: 330-652-0994
Dr. Michael Neopolitan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5402 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-544-1213
Dr. Michael R Griesmer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6285 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-9224 Fax: 330-965-9594
Nagy Hanna, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6285 Youngstown Warren Rd, Niles, OH 44446 Phone: 330-505-9224
Dr. Christopher M Eddy, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1170 Niles Cortland Rd, Suite 2, Niles, OH 44446 Phone: 330-652-4967 Fax: 330-652-3017

Lea Van Kline-shivers, DMD - Medicare Dentist in Niles, OH