Laurel B Shader, MD in New Haven, CT

Laurel B Shader, MD is a medicare enrolled "Pediatrics" physician in New Haven, Connecticut. Her current practice location is 374 Grand Ave, Fair Haven Community Health Ctr, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 777-7411.

Laurel B Shader is licensed to practice in Connecticut (license number 028282) 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 1356445415.

Contact Information

	Laurel B Shader, MD
	374 Grand Ave, Fair Haven Community Health Ctr, New Haven, CT 06513
	(203) 777-7411
	(203) 777-8506

Map and Direction

Physician's Profile

Full Name	Laurel B Shader
Gender	Female
Speciality	Pediatrics
Location	374 Grand Ave, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356445415
Provider Enumeration Date: 09/11/2006
Last Update Date: 01/29/2009

Medicare PECOS Information:

PECOS PAC ID: 9234207721
Enrollment ID: I20081010000388

Medical Identifiers

Medical identifiers for Laurel B Shader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356445415	NPI	-	NPPES
004235736	Other		COMMUNITY HEALTH NETWORK
5175619	Other		CIGNA
1051526	Other		AETNA US HEALTHCARE
0282829734	Other		CONNECTICARE
P473785	Other		OXFORD
004235736	Medicaid	CT
010028282CT03	Other		ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	028282 (Connecticut)	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. Laurel B Shader allows following entities to bill medicare on her behalf.

Entity Name	Fair Haven Community Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104803444 PECOS PAC ID: 4183511538 Enrollment ID: O20040302000135

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. Laurel B 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
Laurel B Shader, MD 535 Howellton Road, Orange, CT 06477 Ph: (203) 799-7961	Laurel B Shader, MD 374 Grand Ave, Fair Haven Community Health Ctr, New Haven, CT 06513 Ph: (203) 777-7411

Reviews and Comments

Pediatrics Doctors in New Haven, CT

Dr. Yeisid F Figueredo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, Dept Of Neonatology, New Haven, CT 06510 Phone: 203-688-2320
Ruchika S Karnik, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Park St, New Haven, CT 06504 Phone: 203-785-4081
Dr. Danice Kuruvilla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Park St, New Haven, CT 06504 Phone: 203-785-4081
Thomas Garrett Flynn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414
Caitlin Elizabeth Hansen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-4730 Fax: 203-785-6961
Trupti Ingle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Mark R Mercurio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 York St, Ynhh Children's Hospital, 2nd Floor, New Haven, CT 06510 Phone: 203-785-2320 Fax: 203-688-5426

Laurel B Shader, MD - Medicare Pediatrics in New Haven, CT