Dr Jacob Wayne Shipley, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Somerset, Pennsylvania. His current practice location is
126 E Church St Ste 2400, Somerset, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 443-5800.
Dr Jacob Wayne Shipley is licensed to practice in Pennsylvania (license number MD450197) 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 1063643856.
Physician's Profile
| Full Name | Dr Jacob Wayne Shipley |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 126 E Church St Ste 2400, Somerset, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jacob Wayne Shipley attended and graduated from in
NPI Data:
- NPI Number: 1063643856
- Provider Enumeration Date: 07/28/2009
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jacob Wayne Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063643856 | NPI | - | NPPES |
| H318750 | Other | OH | MEDICARE PTAN |
| CI6140 | Other | PA | RAILROAD MEDICARE |
| 618271100 | Other | OH | ACS DEPT OF LABOR WC |
| 0015083500031 | Medicaid | PA | |
| 002533543 | Other | PA | HIGHMARK BLUE SHIELD |
| 000000873681 | Other | OH | ANTHEM BCBS |
| 12700751 | Other | OH | CAQH |
| 710929 | Other | PA | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | MD450197 (Pennsylvania) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 35.123054 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD450197 (Pennsylvania) | Primary |
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 Jacob Wayne Shipley 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 Jacob Wayne Shipley, MD
329 S Pleasant Ave,
Somerset, PA 15501-2262
Ph: (814) 445-3575 | Dr Jacob Wayne Shipley, MD
126 E Church St Ste 2400,
Somerset, PA 15501
Ph: (814) 443-5800 |
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