Dr Trudy M Shady, MD in Belleville, IL - Medicare Internal Medicine

Dr Trudy M Shady, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Belleville, Illinois. Her current practice location is 4600 Memorial Dr Ste 200, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-2220.

Dr Trudy M Shady is licensed to practice in Illinois (license number 036-089376) 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 1417940354.

Contact Information

	Dr Trudy M Shady, MD
	4600 Memorial Dr Ste 200, Belleville, IL 62226-5363
	(618) 233-2220
	(618) 233-2555

Map and Direction

Physician's Profile

Full Name	Dr Trudy M Shady
Gender	Female
Speciality	Internal Medicine - Pulmonary Disease
Location	4600 Memorial Dr Ste 200, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417940354
Provider Enumeration Date: 08/25/2005
Last Update Date: 09/02/2020

Medicare PECOS Information:

PECOS PAC ID: 0840194718
Enrollment ID: I20150710002523

Medical Identifiers

Medical identifiers for Dr Trudy M Shady such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417940354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	R3L47 (Missouri)	Secondary
207R00000X	Internal Medicine	036-089376 (Illinois)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	036-089376 (Illinois)	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 Trudy M Shady allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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 Trudy M Shady 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 Trudy M Shady, MD 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 257-4644	Dr Trudy M Shady, MD 4600 Memorial Dr Ste 200, Belleville, IL 62226-5363 Ph: (618) 233-2220

Reviews and Comments

Internal Medicine Doctors in Belleville, IL

Dr. Dennis P Larson, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 509 E Waters Edge Dr, Belleville, IL 62221 Phone: 618-235-1510 Fax: 618-235-1502
Kathleen K Fournier, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337
Eldon Trame, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W, Suite 904, Belleville, IL 62223 Phone: 618-234-0640 Fax: 314-851-4475
Dr. Vibhu Dhawan, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Anand P. Patel, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Kashif Shahzad Bhutto, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 200, Belleville, IL 62226 Phone: 618-233-2220 Fax: 618-233-2555
Dr. David Nelson Pfohl, MD, FACP, GAQ Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 45 Pebble Hill Dr, Belleville, IL 62223 Phone: 618-604-6518

Dr Trudy M Shady, MD - Medicare Internal Medicine in Belleville, IL