Mr Shawn Mckinley Allen, DDS is a medicare enrolled "Dentist - General Practice" provider in Rotterdam, New York. His current practice location is
1402 Helderberg Ave, Rotterdam, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 355-3800.
Mr Shawn Mckinley Allen is licensed to practice in New York (license number 042173-1) 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 1104921865.
Healthcare Provider's Profile
Full Name | Mr Shawn Mckinley Allen |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1402 Helderberg Ave, Rotterdam, New York |
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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: 1104921865
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456604123
- Enrollment ID: I20181025002219
Medical Identifiers
Medical identifiers for Mr Shawn Mckinley Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104921865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 042173-1 (New York) | 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. Mr Shawn Mckinley Allen 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 |
Mr Shawn Mckinley Allen, DDS 1402 Helderberg Ave, Rotterdam, NY 12306 Ph: (518) 355-3800 | Mr Shawn Mckinley Allen, DDS 1402 Helderberg Ave, Rotterdam, NY 12306 Ph: (518) 355-3800 |
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