Carly Ann Shiembob, DO in Philadelphia, PA - Medicare Emergency Medicine

Carly Ann Shiembob, DO is a medicare enrolled "Emergency Medicine" physician in Philadelphia, Pennsylvania. Her current practice location is 10800 Knights Rd, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 612-4000.

Carly Ann Shiembob is licensed to practice in Maine (license number DO2537) 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 1114247566.

Contact Information

	Carly Ann Shiembob, DO
	10800 Knights Rd, Philadelphia, PA 19114-4200
	(215) 612-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Carly Ann Shiembob
Gender	Female
Speciality	Emergency Medicine
Location	10800 Knights Rd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114247566
Provider Enumeration Date: 06/08/2010
Last Update Date: 04/16/2019

Medicare PECOS Information:

PECOS PAC ID: 8921261124
Enrollment ID: I20150903002092

Medical Identifiers

Medical identifiers for Carly Ann Shiembob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114247566	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OT013357 (Pennsylvania)	Secondary
207R00000X	Internal Medicine	OT013357 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	OS015723 (Pennsylvania)	Secondary
207P00000X	Emergency Medicine	DO2537 (Maine)	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. Carly Ann Shiembob allows following entities to bill medicare on her behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

Entity Name	Southern Maine Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060

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. Carly Ann Shiembob 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
Carly Ann Shiembob, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-4000	Carly Ann Shiembob, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-4000

Reviews and Comments

Emergency Medicine Doctors in Philadelphia, PA

Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10800 Knights Rd, Philadelphia, PA 19114 Phone: 215-612-5161
Dr. Alan Barte, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd Ste 1, Philadelphia, PA 19141 Phone: 215-456-7890
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494

Carly Ann Shiembob, DO - Medicare Emergency Medicine in Philadelphia, PA