Dr Roger Brian Shambo, MD - Medicare Family Medicine in Beaver Falls, NY

  1. Home
  2. Family Medicine
  3. NY
  4. Beaver Falls
Dr Roger Brian Shambo, MD is a medicare enrolled "Family Medicine" physician in Beaver Falls, New York. His current practice location is 9559 Main Street, Beaver Falls, New York. You can reach out to his office (for appointments etc.) via phone at (315) 346-6824.

Dr Roger Brian Shambo is licensed to practice in New York (license number 165521-1) 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 1649251489.

Contact Information

Dr Roger Brian Shambo, MD
9559 Main Street,
Beaver Falls, NY 13305
(315) 346-6824
(315) 346-6868

Map and Direction




Physician's Profile

Full NameDr Roger Brian Shambo
GenderMale
SpecialityFamily Medicine
Location9559 Main Street, Beaver Falls, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649251489
  • Provider Enumeration Date: 11/09/2005
  • Last Update Date: 01/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991796542
  • Enrollment ID: I20040521000419

Medical Identifiers

Medical identifiers for Dr Roger Brian Shambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649251489NPI-NPPES
01021076MedicaidNY
374498OtherNYMVP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 165521-1 (New York)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 Roger Brian Shambo allows following entities to bill medicare on his behalf.
Entity NameLewis County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790857308
PECOS PAC ID: 2668463779
Enrollment ID: O20040901000113
Entity NameLewis County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568534303
PECOS PAC ID: 2668463779
Enrollment ID: O20040901000160
Entity NameLewis County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659433217
PECOS PAC ID: 2668463779
Enrollment ID: O20041006001059

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 Roger Brian Shambo 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 AddressPractice Location Address
Dr Roger Brian Shambo, MD
9559 Main Street, Po Box 180,
Beaver Falls, NY 13305-0180

Ph: (315) 346-6824		Dr Roger Brian Shambo, MD
9559 Main Street,
Beaver Falls, NY 13305

Ph: (315) 346-6824

Reviews and Comments


Family Medicine Doctors in Beaver Falls, NY

Thomas Peter Birk, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9559 Main Street, Beaver Falls, NY 13305
Phone: 315-346-6824    Fax: 315-346-6868
Shirley Tuttle-malone, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9559 Main Street, Beaver Falls, NY 13305
Phone: 315-346-6824    Fax: 315-346-6868

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.