Dr Shannon Wayne Altazan, DO - Medicare Emergency Medicine in Charleston, WV

  1. Home
  2. Emergency Medicine
  3. WV
  4. Charleston
Dr Shannon Wayne Altazan, DO is a medicare enrolled "Emergency Medicine" physician in Charleston, West Virginia. His current practice location is 3110 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-7170.

Dr Shannon Wayne Altazan is licensed to practice in Ohio (license number 34.015793) 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 1477057883.

Contact Information

Dr Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210
(304) 388-7170
Not Available

Map and Direction




Physician's Profile

Full NameDr Shannon Wayne Altazan
GenderMale
SpecialityEmergency Medicine
Location3110 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477057883
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345288734
  • Enrollment ID: I20220616000634

Medical Identifiers

Medical identifiers for Dr Shannon Wayne Altazan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477057883NPI-NPPES
0485813MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 3742 (West Virginia)Secondary
207P00000XEmergency Medicine 34.015793 (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 Shannon Wayne Altazan allows following entities to bill medicare on his behalf.
Entity NameEpmg Of Ohio Inc P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841232196
PECOS PAC ID: 1052223799
Enrollment ID: O20031103000158
Entity NameSteel Valley Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831145275
PECOS PAC ID: 3577511195
Enrollment ID: O20050110000903
Entity NameTrinity Hospital Twin City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992096192
PECOS PAC ID: 6204004534
Enrollment ID: O20111206000207
Entity NameColumbiana Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336618628
PECOS PAC ID: 9830437508
Enrollment ID: O20190205003349
Entity NameEast Ohio Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508480930
PECOS PAC ID: 6305260753
Enrollment ID: O20200720000706

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 Shannon Wayne Altazan 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 Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: () -		Dr Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: (304) 388-7170

Reviews and Comments


Emergency Medicine Doctors in Charleston, WV

Barry Michael Mitchell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 419 Brooks St, Charleston, WV 25301
Phone: 304-395-0401    
Adam Thomas Crawford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-7170    Fax: 304-388-4621
Dr. Hunter Nielsen, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    Fax: 304-388-3360
Lauren B Wright,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Bradley Nine, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Calvin Huan Yang, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Roger Taylor, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-647-6006    

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.