Dr Joseph B Shumway, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sullivan, Missouri. His current practice location is
965 Mattox Dr, Sullivan, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 860-6000.
Dr Joseph B Shumway is licensed to practice in Missouri (license number 109051) 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 1932125242.
Physician's Profile
Full Name | Dr Joseph B Shumway |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 965 Mattox Dr, Sullivan, 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: 1932125242
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901937838
- Enrollment ID: I20240403003523
Medical Identifiers
Medical identifiers for Dr Joseph B Shumway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932125242 | NPI | - | NPPES |
$$$$$$$$$ | Medicaid | IL | |
208012724 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 13208172-1205 (Utah) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 109051 (Missouri) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 036092040 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | 109051 (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. Dr Joseph B Shumway allows following entities to bill medicare on his behalf.
Entity Name | Tooele Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
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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 Joseph B Shumway 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 Joseph B Shumway, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Joseph B Shumway, MD 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000 |
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