Dr Shane O'neil, MD is a medicare enrolled "Dermatology" physician in Haverhill, Massachusetts. He went to University Of Minnesota, Duluth School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Northeast Dermatology Associates Pc and his current practice location is
62 Brown St Ste 304c, Haverhill, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 691-5690.
Dr Shane O'neil is licensed to practice in Massachusetts (license number 290513) 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 1942629795.
Physician's Profile
Full Name | Dr Shane O'neil |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 10 Years |
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Location | 62 Brown St Ste 304c, Haverhill, Massachusetts |
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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 Shane O'neil attended and graduated from University Of Minnesota, Duluth School Of Medicine in 2014
NPI Data:
- NPI Number: 1942629795
- Provider Enumeration Date: 04/09/2014
- Last Update Date: 11/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335444645
- Enrollment ID: I20211110002730
Medical Identifiers
Medical identifiers for Dr Shane O'neil such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942629795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 290513 (Massachusetts) | Primary |
207N00000X | Dermatology | 63113 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northeast Dermatology Associates Pc | 3072403799 | 75 |
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 Shane O'neil allows following entities to bill medicare on his behalf.
Entity Name | Northeast Dermatology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104921162 PECOS PAC ID: 3072403799 Enrollment ID: O20040317000655 |
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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 Shane O'neil 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 Shane O'neil, MD Po Box 412012, Boston, MA 02241-2012 Ph: (978) 691-5691 | Dr Shane O'neil, MD 62 Brown St Ste 304c, Haverhill, MA 01830-6790 Ph: (978) 691-5690 |
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