Dr Marybeth D Shaffer, DMD is a medicare enrolled "Dentist - General Practice" provider in Leetonia, Ohio. Her current practice location is
320 Columbia St, Leetonia, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 427-6965.
Dr Marybeth D Shaffer is licensed to practice in Ohio (license number 17171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952380354.
Healthcare Provider's Profile
| Full Name | Dr Marybeth D Shaffer |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 320 Columbia St, Leetonia, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952380354
- Provider Enumeration Date: 01/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0042525057
- Enrollment ID: I20180913003176
Medical Identifiers
Medical identifiers for Dr Marybeth D Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952380354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 17171 (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. Dr Marybeth D Shaffer allows following entities to bill medicare on her behalf.
| Entity Name | Mercy Health Physicians Youngstown, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154636066
PECOS PAC ID: 9234318270
Enrollment ID: O20110124000753 |
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| Entity Name | Community Action Agency Of Columbiana County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508114893
PECOS PAC ID: 8123928645
Enrollment ID: O20130408000488 |
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| Entity Name | Community Action Agency Of Columbiana County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821041401
PECOS PAC ID: 8123928645
Enrollment ID: O20150807014972 |
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| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835 |
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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. Dr Marybeth D 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 |
|---|
Dr Marybeth D Shaffer, DMD
320 Columbia St,
Leetonia, OH 44431-1291
Ph: (330) 427-6965 | Dr Marybeth D Shaffer, DMD
320 Columbia St,
Leetonia, OH 44431-1291
Ph: (330) 427-6965 |
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