Neil Frederick Shallish, MD in Ithaca, NY

Neil Frederick Shallish, MD is a medicare enrolled "Family Medicine" physician in Ithaca, New York. His current practice location is 209 W State St, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at (607) 277-4341.

Neil Frederick Shallish is licensed to practice in New York (license number 143456) 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 1568494755.

Contact Information

	Neil Frederick Shallish, MD
	209 W State St, Ithaca, NY 14850-5429
	(607) 277-4341
	Not Available

Map and Direction

Physician's Profile

Full Name	Neil Frederick Shallish
Gender	Male
Speciality	Family Medicine
Location	209 W State St, Ithaca, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568494755
Provider Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1658354329
Enrollment ID: I20110419000437

Medical Identifiers

Medical identifiers for Neil Frederick Shallish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568494755	NPI	-	NPPES
00705660	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	143456 (New York)	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. Neil Frederick Shallish allows following entities to bill medicare on his behalf.

Entity Name	Family Medicine Associates Of Ithaca Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326184490 PECOS PAC ID: 3779566435 Enrollment ID: O20040611001359

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. Neil Frederick Shallish 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
Neil Frederick Shallish, MD 120 Larchmont Dr, Trumansburg, NY 14886-9718 Ph: (607) 387-5890	Neil Frederick Shallish, MD 209 W State St, Ithaca, NY 14850-5429 Ph: (607) 277-4341

Reviews and Comments

Family Medicine Doctors in Ithaca, NY

David Wentzel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Cornell University Health Services, Ho Plaza, Ithaca, NY 14853 Phone: 607-255-6946 Fax: 607-254-3503
Douglas Michael Zang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 302 W Seneca St, Ithaca, NY 14850 Phone: 607-697-0360 Fax: 607-272-0240
Dr. David Eric Ristedt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858
Sharon L Ziegler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 W State St, Attn: Bob Bloom, Ithaca, NY 14850 Phone: 607-277-4341 Fax: 607-216-0902
Sarah Wineholt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 W Seneca St, Ithaca, NY 14850 Phone: 607-697-0360 Fax: 607-272-0240
Matthew S Ujevich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858
Meredith Sax Bourne, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Willow Ave, Ithaca, NY 14850 Phone: 607-219-4600

Neil Frederick Shallish, MD - Medicare Family Medicine in Ithaca, NY