Shadyside Clinic, Llc - Medicare Primary Care in Shadyside, OH

Shadyside Clinic, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Shadyside, Ohio. The current practice location for Shadyside Clinic, Llc is 3948 Central Ave, Shadyside, Ohio. For appointments, you can reach them via phone at (740) 298-2475. The mailing address for Shadyside Clinic, Llc is 65855 Stone Ridge Dr, Belmont, Ohio and phone number is () -.

Shadyside Clinic, Llc is licensed to practice in Ohio (license number 16718NP). The clinic also participates in the medicare program and its NPI number is 1093183204. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (740) 298-2475.

Contact Information

Shadyside Clinic, Llc
3948 Central Ave
Shadyside
OH 43947-1310
(740) 298-2475
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameShadyside Clinic, Llc
SpecialityClinic/Center
Location3948 Central Ave, Shadyside, Ohio
Authorized Official Name and PositionLindsay Twarog (NURSE PRACTITIONER AND OWNER)
Authorized Official Contact7402982475
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shadyside Clinic, Llc
65855 Stone Ridge Dr
Belmont
OH 43718-9425

Ph: () -
Shadyside Clinic, Llc
3948 Central Ave
Shadyside
OH 43947-1310

Ph: (740) 298-2475

NPI Details:

NPI Number1093183204
Provider Enumeration Date09/03/2015
Last Update Date09/03/2015

Medicare PECOS Information:

Medicare PECOS PAC ID9335438423
Medicare Enrollment IDO20160512001168

Medical Identifiers

Medical identifiers for Shadyside Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093183204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 16718NP (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. Shadyside Clinic, Llc acts as a billing entity for following providers:
Provider NameLucas Burkhardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144734781
PECOS PAC ID: 1052671682
Enrollment ID: I20180130002747

Reviews and Comments


Clinic/Center in Shadyside, OH

Shadyside Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Central Ave, Shadyside, OH 43947
Phone: 740-671-9357    Fax: 740-671-9739
Wheeling Hospital, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Lincoln Ave, Shadyside, OH 43947
Phone: 740-671-9357    Fax: 740-671-9739
Georges Healthcare Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Lincoln Ave, Shadyside, OH 43947
Phone: 740-671-0850    Fax: 740-671-0848
Southeast Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3795 Leona Ave, Shadyside, OH 43947
Phone: 614-225-0991    
Paramount Medical Care Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3948 Central Ave, Shadyside, OH 43947
Phone: 740-296-5702    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.