Dr Christopher M Shale, MD is a medicare enrolled "Plastic Surgery" physician in Ogden, Utah. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2002 and has 22 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is
4403 Harrison Blvd, Ste 4835, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 387-4750.
Dr Christopher M Shale is licensed to practice in Utah (license number 8501536-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962478636.
Physician's Profile
| Full Name | Dr Christopher M Shale |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 22 Years |
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| Location | 4403 Harrison Blvd, Ogden, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Christopher M Shale attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2002
NPI Data:
- NPI Number: 1962478636
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 08/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436212834
- Enrollment ID: I20130724000375
Medical Identifiers
Medical identifiers for Dr Christopher M Shale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962478636 | NPI | - | NPPES |
| U000078865 | Other | UT | PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | N1138 (Texas) | Secondary |
| 208600000X | Surgery | N1138 (Texas) | Secondary |
| 208D00000X | General Practice | N1138 (Texas) | Secondary |
| 208200000X | Plastic Surgery | 8501536-1205 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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 Christopher M Shale allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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 Christopher M Shale 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 |
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Dr Christopher M Shale, MD
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: (801) 387-4755 | Dr Christopher M Shale, MD
4403 Harrison Blvd, Ste 4835,
Ogden, UT 84403-3271
Ph: (801) 387-4750 |
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