Dr David J Shock, DDS is a medicare enrolled "Dentist" provider in Fairmount, Indiana. His current practice location is
215 E Washington St, Fairmount, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 948-4107.
Dr David J Shock is licensed to practice in Indiana (license number 12011164A) 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 1174787865.
Healthcare Provider's Profile
Full Name | Dr David J Shock |
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Gender | Male |
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Speciality | Dentist |
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Location | 215 E Washington St, Fairmount, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174787865
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517262017
- Enrollment ID: I20200115000925
Medical Identifiers
Medical identifiers for Dr David J Shock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174787865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 683 (Florida) | Secondary |
122300000X | Dentist | 12011164A (Indiana) | 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. Dr David J Shock 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 |
Dr David J Shock, DDS 215 E Washington St, Fairmount, IN 46928-1747 Ph: (765) 948-4107 | Dr David J Shock, DDS 215 E Washington St, Fairmount, IN 46928-1747 Ph: (765) 948-4107 |
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