Brian Maurice Shefulsky, DO is a medicare enrolled "General Practice" physician in Stockton, Missouri. His current practice location is
807 Owens Mill Rd, Stockton, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 276-5500.
Brian Maurice Shefulsky is licensed to practice in Missouri (license number 2019041268) 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 1992189997.
Physician's Profile
Full Name | Brian Maurice Shefulsky |
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Gender | Male |
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Speciality | General Practice |
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Location | 807 Owens Mill Rd, Stockton, Missouri |
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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: 1992189997
- Provider Enumeration Date: 07/20/2015
- Last Update Date: 07/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052732005
- Enrollment ID: I20200601000443
Medical Identifiers
Medical identifiers for Brian Maurice Shefulsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992189997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 2019041268 (Missouri) | 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. Brian Maurice Shefulsky allows following entities to bill medicare on his behalf.
Entity Name | Cherry Health Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770628620 PECOS PAC ID: 1355317033 Enrollment ID: O20081024000637 |
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Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
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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. Brian Maurice Shefulsky 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 |
Brian Maurice Shefulsky, DO 1401 S Park St, El Dorado Springs, MO 64744-2037 Ph: (417) 876-2511 | Brian Maurice Shefulsky, DO 807 Owens Mill Rd, Stockton, MO 65785-8359 Ph: (417) 276-5500 |
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