Keith Hayden Shamrock, - Medicare Family Medicine in Wauseon, OH

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Keith Hayden Shamrock, is a medicare enrolled "Family Medicine" physician in Wauseon, Ohio. His current practice location is 735 S Shoop Ave, Wauseon, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 335-3242.

Keith Hayden Shamrock is licensed to practice in Ohio (license number 34.017988) 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 1730717356.

Contact Information

Keith Hayden Shamrock,
735 S Shoop Ave,
Wauseon, OH 43567-1735
(419) 335-3242
(419) 335-3222

Map and Direction




Physician's Profile

Full NameKeith Hayden Shamrock
GenderMale
SpecialityFamily Medicine
Location735 S Shoop Ave, Wauseon, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730717356
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 12/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163841297
  • Enrollment ID: I20230912003992

Medical Identifiers

Medical identifiers for Keith Hayden Shamrock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730717356NPI-NPPES
119212500MedicaidFL
0151340MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34.017988 (Ohio)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. Keith Hayden Shamrock allows following entities to bill medicare on his behalf.
Entity NameFlorida Clinical Practice Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameFlorida Health Care Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558302042
PECOS PAC ID: 9436201233
Enrollment ID: O20090708000537

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. Keith Hayden Shamrock 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
Keith Hayden Shamrock,
735 S Shoop Ave,
Wauseon, OH 43567-1735

Ph: (419) 335-3242		Keith Hayden Shamrock,
735 S Shoop Ave,
Wauseon, OH 43567-1735

Ph: (419) 335-3242

Reviews and Comments


Family Medicine Doctors in Wauseon, OH

Rowland J. Rivero, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 725 S Shoop Ave, Wauseon, OH 43567
Phone: 419-330-2603    
John N Kamau, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 725 S Shoop Ave, Wauseon, OH 43567
Phone: 419-330-2605    Fax: 419-330-2649
Richard J Grieser, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 735 S Shoop Ave, Wauseon, OH 43567
Phone: 419-335-3242    Fax: 419-335-3222
Rebecca L Mcclarren, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 495 S Shoop Ave, Wauseon, OH 43567
Phone: 419-335-7921    Fax: 419-337-5988
Lekha Sai Vemuru,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 735 S Shoop Ave, Wauseon, OH 43567
Phone: 419-335-3242    Fax: 419-335-3222
Melissa A Pifer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 128 Depot St, Wauseon, OH 43567
Phone: 419-335-0351    Fax: 419-335-0397
Kenton J Kamp, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 495 S Shoop Ave, Wauseon, OH 43567
Phone: 419-335-7921    Fax: 419-337-5988

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.