Dr Jacob Wayne Shipley, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Somerset, Pennsylvania. He went to Ohio State University College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Mrs Physical Therapy, Somerset Health Services Inc, Vantage Physical Therapy And Rehabilitation Inc, Medical Rehabilitation Systems Llc and his current practice location is
126 E Church St Ste 2400, Somerset, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 443-5800.
Dr Jacob Wayne Shipley is licensed to practice in Pennsylvania (license number MD450197) 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 1063643856.
Physician's Profile
Full Name | Dr Jacob Wayne Shipley |
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Gender | Male |
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Speciality | Pain Management |
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Experience | 15 Years |
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Location | 126 E Church St Ste 2400, Somerset, Pennsylvania |
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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. |
Medical Education and Training:
- Dr Jacob Wayne Shipley attended and graduated from Ohio State University College Of Medicine in 2009
NPI Data:
- NPI Number: 1063643856
- Provider Enumeration Date: 07/28/2009
- Last Update Date: 03/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567686355
- Enrollment ID: I20150713002102
Medical Identifiers
Medical identifiers for Dr Jacob Wayne Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063643856 | NPI | - | NPPES |
H318750 | Other | OH | MEDICARE PTAN |
CI6140 | Other | PA | RAILROAD MEDICARE |
618271100 | Other | OH | ACS DEPT OF LABOR WC |
0015083500031 | Medicaid | PA | |
002533543 | Other | PA | HIGHMARK BLUE SHIELD |
000000873681 | Other | OH | ANTHEM BCBS |
12700751 | Other | OH | CAQH |
710929 | Other | PA | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | MD450197 (Pennsylvania) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 35.123054 (Ohio) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | MD450197 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mrs Physical Therapy | 0042128407 | 91 |
Somerset Health Services Inc | 2668434614 | 46 |
Vantage Physical Therapy And Rehabilitation Inc | 3072424886 | 145 |
Medical Rehabilitation Systems Llc | 4486547163 | 37 |
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 Jacob Wayne Shipley allows following entities to bill medicare on his behalf.
Entity Name | Somerset Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134237407 PECOS PAC ID: 2668434614 Enrollment ID: O20041102000021 |
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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 Jacob Wayne Shipley 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 Jacob Wayne Shipley, MD 329 S Pleasant Ave, Somerset, PA 15501-2262 Ph: (814) 445-3575 | Dr Jacob Wayne Shipley, MD 126 E Church St Ste 2400, Somerset, PA 15501 Ph: (814) 443-5800 |
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