Jeffrey C Powell, MD - Medicare Pediatrics in Shiprock, NM

Jeffrey C Powell, MD is a medicare enrolled "Pediatrics" physician in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6401.

Jeffrey C Powell is licensed to practice in Washington (license number MD00040293) 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 1194700674.

Contact Information

Jeffrey C Powell, MD
Us Hwy 491 North,
Shiprock, NM 87420
(505) 368-6401
(505) 368-6431

Map and Direction




Physician's Profile

Full NameJeffrey C Powell
GenderMale
SpecialityPediatrics
LocationUs Hwy 491 North, Shiprock, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194700674
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 01/04/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9133312044
  • Enrollment ID: I20101025000247

Medical Identifiers

Medical identifiers for Jeffrey C Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194700674NPI-NPPES
714635MedicaidAZ
31326021MedicaidNM
83872540MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00040293 (Washington)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. Jeffrey C Powell allows following entities to bill medicare on his behalf.
Entity NameDhhs Phs Naihs Shiprock Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780639971
PECOS PAC ID: 0749193837
Enrollment ID: O20031105000809

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. Jeffrey C Powell 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
Jeffrey C Powell, MD
Po Box 160,
Shiprock, NM 87420-0160

Ph: (505) 368-6401
Jeffrey C Powell, MD
Us Hwy 491 North,
Shiprock, NM 87420

Ph: (505) 368-6401

Reviews and Comments


Pediatrics Doctors in Shiprock, NM

Sandra Beirne, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-7060    Fax: 505-368-6545
Dr. Daniel Langsam, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420
Phone: 505-368-6001    
Dr. Alan Lyndale Schooley, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Tommie T Begay, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Neil Gholkar, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6001    Fax: 505-368-7011
Susie A John, MD MPH
Pediatrics
Medicare: Medicare Enrolled
Practice Location: Us Hwy 491 North, Shiprock, NM 87420
Phone: 505-368-6401    Fax: 505-368-6431

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.