Dr Marc Douglas Shields, MD - Medicare Ophthalmology in Staunton, VA

Dr Marc Douglas Shields, MD is a medicare enrolled "Ophthalmology" physician in Staunton, Virginia. He went to University Of Louisville School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Eye One, Plc and his current practice location is 1500 Commerce Rd, Staunton, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 213-7720.

Dr Marc Douglas Shields is licensed to practice in Virginia (license number 0101236216) 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 1265435226.

Contact Information

Dr Marc Douglas Shields, MD
1500 Commerce Rd,
Staunton, VA 24401-9032
(540) 213-7720
(540) 213-9441

Map and Direction




Physician's Profile

Full NameDr Marc Douglas Shields
GenderMale
SpecialityOphthalmology
Experience26 Years
Location1500 Commerce Rd, Staunton, Virginia
Accepts Medicare AssignmentsYes. 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 Marc Douglas Shields attended and graduated from University Of Louisville School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1265435226
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 07/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133109010
  • Enrollment ID: I20040721001436

Medical Identifiers

Medical identifiers for Dr Marc Douglas Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265435226NPI-NPPES
010058252MedicaidVA
137003OtherVABLUE CROSS BLUE SHIELD
010058228MedicaidVA
010058244MedicaidVA
137008OtherVABLUE CROSS BLUE SHIELD
137010OtherVABLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 0101236216 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Augusta HealthFishersville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye One, Plc741691755411

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 Marc Douglas Shields allows following entities to bill medicare on his behalf.
Entity NameEye One, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982613576
PECOS PAC ID: 7416917554
Enrollment ID: O20041013001072

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 Marc Douglas Shields 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 AddressPractice Location Address
Dr Marc Douglas Shields, MD
17 N Medical Park Dr,
Fishersville, VA 22939-2344

Ph: (540) 213-7720
Dr Marc Douglas Shields, MD
1500 Commerce Rd,
Staunton, VA 24401-9032

Ph: (540) 213-7720

Reviews and Comments


Ophthalmology Doctors in Staunton, VA

Dr. Paul S Mcconnell, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Commerce Rd, Staunton, VA 24401
Phone: 540-213-7720    Fax: 540-213-9441
Dr. John A Stathos Jr., MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 2010 N Augusta St, Staunton Eye Clinic Plc, Staunton, VA 24401
Phone: 540-885-8186    Fax: 540-886-5895

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.