Everett Patrick Shareck Jr, is a medicare enrolled "Emergency Medicine" physician in Willows, California. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1979 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice American Specialty Physicians Group Inc and his current practice location is
1133 W Sycamore Street, Willows, California. You can reach out to his office (for appointments etc.) via phone at
(530) 934-1800.
Everett Patrick Shareck Jr is licensed to practice in California (license number G40509) 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 1497791404.
Physician's Profile
| Full Name | Everett Patrick Shareck Jr |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 46 Years |
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| Location | 1133 W Sycamore Street, Willows, California |
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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. |
Medical Education and Training:
- Everett Patrick Shareck Jr attended and graduated from Icahn School Of Medicine At Mount Sinai in 1979
NPI Data:
- NPI Number: 1497791404
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 08/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 3971553504
- Enrollment ID: I20050131000918
Medical Identifiers
Medical identifiers for Everett Patrick Shareck Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497791404 | NPI | - | NPPES |
| 00G405090 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | G40509 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| American Specialty Physicians Group Inc | 6103198460 | 69 |
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. Everett Patrick Shareck Jr allows following entities to bill medicare on his behalf.
| Entity Name | Glenn Medical Center, Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
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| Entity Name | American Specialty Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568992923 PECOS PAC ID: 6103198460 Enrollment ID: O20170821003230 |
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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. Everett Patrick Shareck Jr 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 |
Everett Patrick Shareck Jr, Po Box 8117, Red Bluff, CA 96080 Ph: (530) 529-1306 | Everett Patrick Shareck Jr, 1133 W Sycamore Street, Willows, CA 95988 Ph: (530) 934-1800 |
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