Derek Shafer, RN in Fairfield, OH - Medicare Nurse Anesthetist, Certified Registered

Derek Shafer, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfield, Ohio. His current practice location is 3000 Mack Rd, Fairfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 672-4128.

Derek Shafer is licensed to practice in Ohio (license number 291860) 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 1952333171.

Contact Information

	Derek Shafer, RN
	3000 Mack Rd, Fairfield, OH 45014-5335
	(513) 672-4128
	(513) 672-3323

Map and Direction

Provider's Profile

Full Name	Derek Shafer
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3000 Mack Rd, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952333171
Provider Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8820005770
Enrollment ID: I20060317000009

Medical Identifiers

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

Identifier	Type	State	Issuer
1952333171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	291860 (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. Derek Shafer allows following entities to bill medicare on his behalf.

Entity Name	New Albany Orthopedic Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093762635 PECOS PAC ID: 7618872789 Enrollment ID: O20031203000000

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. Derek 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
Derek Shafer, RN 200 Northland Blvd, Cincinnati, OH 45246-3604 Ph: (513) 672-4128	Derek Shafer, RN 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 672-4128

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfield, OH

Gerald Kistler, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323
Rita Thomas, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323
Janie M Mcelwain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000
Mark Koch, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000
Rogers Tuwei, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7000
Jerome James, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3309 Fax: 513-672-3323
Tendai M Manyau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-672-3300

Derek Shafer, RN - Medicare Nurse Anesthetist, Certified Registered in Fairfield, OH