Dr Shane William Wasden, MD in New York, NY - Medicare Obstetrics & Gynecology

Dr Shane William Wasden, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in New York, New York. His current practice location is 130 East 77th Street, 2 Black Hall, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 434-2585.

Dr Shane William Wasden is licensed to practice in New York (license number 250329) 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 1104083096.

Contact Information

	Dr Shane William Wasden, MD
	130 East 77th Street, 2 Black Hall, New York, NY 10075-1007
	(212) 434-2585
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane William Wasden
Gender	Male
Speciality	Obstetrics & Gynecology - Maternal & Fetal Medicine
Location	130 East 77th Street, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104083096
Provider Enumeration Date: 05/19/2008
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1658511928
Enrollment ID: I20130710000008

Medical Identifiers

Medical identifiers for Dr Shane William Wasden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104083096	NPI	-	NPPES
02299585	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VM0101X	Obstetrics & Gynecology - Maternal & Fetal Medicine	250329 (New York)	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 Shane William Wasden allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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 William Wasden 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 William Wasden, MD 425 E 68th St, New York, NY 10065-6305 Ph: () -	Dr Shane William Wasden, MD 130 East 77th Street, 2 Black Hall, New York, NY 10075-1007 Ph: (212) 434-2585

Reviews and Comments

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Janet Stein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Union Sq E, New York, NY 10003 Phone: 212-420-2577
Isaac Kligman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1305 York Ave, 6th Floor, New York, NY 10021 Phone: 646-962-3814 Fax: 646-962-0311

Dr Shane William Wasden, MD - Medicare Obstetrics & Gynecology in New York, NY