Jessica Shackman, MD in Columbia, MD - Medicare Emergency Medicine

Jessica Shackman, MD is a medicare enrolled "Emergency Medicine" physician in Columbia, Maryland. Her current practice location is 5755 Cedar Ln, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 740-7890.

Jessica Shackman is licensed to practice in Maryland (license number D0081355) 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 1992149744.

Contact Information

	Jessica Shackman, MD
	5755 Cedar Ln, Columbia, MD 21044-2912
	(410) 740-7890
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Shackman
Gender	Female
Speciality	Emergency Medicine
Location	5755 Cedar Ln, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992149744
Provider Enumeration Date: 04/23/2013
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2961799788
Enrollment ID: I20160922001025

Medical Identifiers

Medical identifiers for Jessica Shackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992149744	NPI	-	NPPES
D81355	Other	MD	MD LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	D81355 (Maryland)	Secondary
207P00000X	Emergency Medicine	D0081355 (Maryland)	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. Jessica Shackman allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Johns Hopkins Emergency Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922098466 PECOS PAC ID: 3577546753 Enrollment ID: O20040609000834

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. Jessica Shackman 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
Jessica Shackman, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () -	Jessica Shackman, MD 5755 Cedar Ln, Columbia, MD 21044-2912 Ph: (410) 740-7890

Reviews and Comments

Emergency Medicine Doctors in Columbia, MD

Dr. Wynne Breed, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7777 Fax: 410-740-7551
Mayuri Patel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 443-718-3737
Danielle K Matilsky, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8482
Levan Kuck, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-550-9720
Dr. Christopher El Khuri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890
Dr. Igor Kukelyansky, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 443-540-2277
Selamawit Getachew, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-550-9720

Jessica Shackman, MD - Medicare Emergency Medicine in Columbia, MD