Paul Tanner Shaffer, is a medicare enrolled "Podiatrist" provider in Salem, Wisconsin. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Cascade Orthopedics And Sports Medicine Center, P.c., Aurora Medical Group, Inc. and his current practice location is
25320 75th St, Salem, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 843-2336.
Paul Tanner Shaffer is licensed to practice in Wisconsin (license number 1368) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528529187.
Healthcare Provider's Profile
| Full Name | Paul Tanner Shaffer |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 7 Years |
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| Location | 25320 75th St, Salem, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Paul Tanner Shaffer graduated from medical school in 2019
NPI Data:
- NPI Number: 1528529187
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 06/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618358425
- Enrollment ID: I20220725001910
Medical Identifiers
Medical identifiers for Paul Tanner Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528529187 | NPI | - | NPPES |
| 100413391 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 135001034 (Illinois) | Secondary |
| 213E00000X | Podiatrist | 1368 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cascade Orthopedics And Sports Medicine Center, P.c. | 4486640695 | 4 |
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
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. Paul Tanner Shaffer allows following entities to bill medicare on his behalf.
| Provider Name | Cascade Orthopedics & Sports Medicine Center, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841366010
PECOS PAC ID: 4486640695
Enrollment ID: O20040422001411 |
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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. Paul Tanner Shaffer 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 |
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Paul Tanner Shaffer,
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Paul Tanner Shaffer,
25320 75th St,
Salem, WI 53168-9684
Ph: (262) 843-2336 |
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