Dr Michael William Shultz, DO is a medicare enrolled "Family Medicine" physician in Campbell, Ohio. His current practice location is
315 Struthers Liberty Rd, Campbell, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 750-1333.
Dr Michael William Shultz is licensed to practice in Ohio (license number 34004267S) 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 1649261868.
Physician's Profile
| Full Name | Dr Michael William Shultz |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 315 Struthers Liberty Rd, Campbell, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1649261868
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 12/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 2961453121
- Enrollment ID: I20100322000740
Medical Identifiers
Medical identifiers for Dr Michael William Shultz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649261868 | NPI | - | NPPES |
| 341563209 | Other | | AETNA CLASS |
| 34156320900 | Other | | UNITED HEALTHCARE CLASS |
| 000000133995 | Other | | ANTHEM SENIOR ADVANCE |
| 0665169 | Other | | OH WELFARE CLASS |
| 000000133995 | Other | | ANTHEM CLASS |
| 000000133995 | Other | | ANTHEM BENEFIT |
| 60322 | Other | | QUALCHOICE |
| 080011301 | Other | | RAILROAD MEDICARE |
| 516931 | Other | | HIGHMARK |
| 516931 | Other | | SELECT BLUE |
| 000000133995 | Other | | ANTHEM FEP |
| 0599322 | Other | | MEDICARE CLASS |
| 0102261 | Other | | UHC OF COLUMBUS |
| 0665169 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 34004267S (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. Dr Michael William Shultz allows following entities to bill medicare on his behalf.
| Entity Name | Triad Health Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1588925457
PECOS PAC ID: 9032367917
Enrollment ID: O20120918000787 |
|---|
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 Michael William Shultz 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 Michael William Shultz, DO
315 Struthers Liberty Rd,
Campbell, OH 44405-1949
Ph: (330) 750-1333 | Dr Michael William Shultz, DO
315 Struthers Liberty Rd,
Campbell, OH 44405-1949
Ph: (330) 750-1333 |
Reviews and Comments