Mark R Shafer, MD in Providence, RI

Mark R Shafer, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Providence, Rhode Island. His current practice location is 830 Chalkstone Ave, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 273-7100.

Mark R Shafer is licensed to practice in Massachusetts (license number 158271) 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 1780642702.

Contact Information

	Mark R Shafer, MD
	830 Chalkstone Ave, Providence, RI 02908-4734
	(401) 273-7100
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark R Shafer
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	830 Chalkstone Ave, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780642702
Provider Enumeration Date: 05/01/2006
Last Update Date: 05/04/2017

Medicare PECOS Information:

PECOS PAC ID: 2365624756
Enrollment ID: I20110329000575

Medical Identifiers

Medical identifiers for Mark R Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780642702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	158271 (Massachusetts)	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. Mark R Shafer allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Medical Practice Plan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171

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. Mark R Shafer 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
Mark R Shafer, MD 90 Adeline Rd, Newton, MA 02459-2705 Ph: (401) 273-7100	Mark R Shafer, MD 830 Chalkstone Ave, Providence, RI 02908-4734 Ph: (401) 273-7100

Reviews and Comments

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Earle O Assanah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5174
Sarah-kim Shields, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Radiology, Providence, RI 02903 Phone: 401-444-2133 Fax: 401-444-5017
Sean O'neill, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5127 Fax: 401-444-3056
John Scaringi, MD Radiology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000

Mark R Shafer, MD - Medicare Radiology in Providence, RI