Ronnie Shade Jr, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Abington, Pennsylvania. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Family Practice. His current practice location is
1200 Old York Rd, Abington, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 481-2606.
Ronnie Shade Jr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1487394805.
Physician's Profile
| Full Name | Ronnie Shade Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 4 Years |
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| Location | 1200 Old York Rd, Abington, Pennsylvania |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ronnie Shade Jr attended and graduated from Philadelphia College Of Osteopathic Medicine in 2022
NPI Data:
- NPI Number: 1487394805
- Provider Enumeration Date: 04/01/2022
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082001573
- Enrollment ID: I20250603003201
Medical Identifiers
Medical identifiers for Ronnie Shade Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487394805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS024474 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ronnie Shade Jr 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 |
Ronnie Shade Jr, DO 2433 N 50th St, Philadelphia, PA 19131-1404 Ph: (214) 417-2500 | Ronnie Shade Jr, DO 1200 Old York Rd, Abington, PA 19001-3720 Ph: (215) 481-2606 |
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