David Shafer, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Farmington, Connecticut. He went to Harvard Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice University Dentists and his current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-3300.
David Shafer is licensed to practice in Connecticut (license number 007624) 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 1528065992.
Healthcare Provider's Profile
Full Name | David Shafer |
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Gender | Male |
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Speciality | Oral Surgery |
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Experience | 38 Years |
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Location | 263 Farmington Ave, Farmington, Connecticut |
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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:
- David Shafer attended and graduated from Harvard Medical School in 1986
NPI Data:
- NPI Number: 1528065992
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 05/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507946548
- Enrollment ID: I20080103000536
Medical Identifiers
Medical identifiers for David Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528065992 | NPI | - | NPPES |
002076249 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 007624 (Connecticut) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 007624 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Dentists | 6800167172 | 2 |
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. David Shafer allows following entities to bill medicare on his behalf.
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
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Entity Name | University Dentists |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922029768 PECOS PAC ID: 6800167172 Enrollment ID: O20170804000071 |
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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. David 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 |
David Shafer, DMD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | David Shafer, DMD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-3300 |
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