Howard L Shackelford Jr, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Clairsville, Ohio. He went to West Virginia University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Wheeling Hospital Inc, Wheeling Hospital Inc and his current practice location is
46150 National Rd W, Saint Clairsville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 695-2443.
Howard L Shackelford Jr is licensed to practice in Ohio (license number 35042925) 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 1750431094.
Physician's Profile
| Full Name | Howard L Shackelford Jr |
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| Gender | Male |
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| Speciality | Cardiac Surgery |
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| Experience | 48 Years |
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| Location | 46150 National Rd W, Saint Clairsville, Ohio |
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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. |
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Medical Education and Training:
- Howard L Shackelford Jr attended and graduated from West Virginia University School Of Medicine in 1976
NPI Data:
- NPI Number: 1750431094
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 04/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163455874
- Enrollment ID: I20050926000024
Medical Identifiers
Medical identifiers for Howard L Shackelford Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750431094 | NPI | - | NPPES |
| 0517748 | Medicaid | OH | |
| 0129426000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 11190 (West Virginia) | Secondary |
| 208600000X | Surgery | 35042925 (Ohio) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | 11190 (West Virginia) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | 35042925 (Ohio) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 11190 (West Virginia) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 35042925 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wheeling Hospital Inc | 5799689493 | 321 |
| Wheeling Hospital Inc | 5799689493 | 321 |
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. Howard L Shackelford Jr allows following entities to bill medicare on his behalf.
| Entity Name | Wheeling Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578752101
PECOS PAC ID: 5799689493
Enrollment ID: O20040204000220 |
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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. Howard L Shackelford Jr 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 |
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Howard L Shackelford Jr, MD
Po Box 6824,
Wheeling, WV 26003-0921
Ph: (304) 233-2455 | Howard L Shackelford Jr, MD
46150 National Rd W,
Saint Clairsville, OH 43950-8715
Ph: (740) 695-2443 |
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