Jonathan Shader, DO is a medicare enrolled "Ophthalmology" physician in Lake Havasu City, Arizona. He went to Pacific Nw Un Of Hs, Col Of Osteopathic Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
297 Lake Havasu Ave S Ste 204, Lake Havasu City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 490-2121.
Jonathan Shader is licensed to practice in Arizona (license number 010033) 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 1689038986.
Physician's Profile
| Full Name | Jonathan Shader |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 7 Years |
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| Location | 297 Lake Havasu Ave S Ste 204, Lake Havasu City, Arizona |
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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. |
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Medical Education and Training:
- Jonathan Shader attended and graduated from Pacific Nw Un Of Hs, Col Of Osteopathic Medicine in 2018
NPI Data:
- NPI Number: 1689038986
- Provider Enumeration Date: 04/12/2016
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123353877
- Enrollment ID: I20240906001329
Medical Identifiers
Medical identifiers for Jonathan Shader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689038986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 10760 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 010033 (Arizona) | Primary |
Medical Facilities Affiliation
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. Jonathan Shader allows following entities to bill medicare on his behalf.
| Entity Name | Shader Vision |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043041486
PECOS PAC ID: 8426598350
Enrollment ID: O20240906001178 |
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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. Jonathan Shader 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 |
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Jonathan Shader, DO
297 Lake Havasu Ave S Ste 204,
Lake Havasu City, AZ 86403-6526
Ph: (928) 490-2121 | Jonathan Shader, DO
297 Lake Havasu Ave S Ste 204,
Lake Havasu City, AZ 86403-6526
Ph: (928) 490-2121 |
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