James B Shackson, MD | |
4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 | |
(574) 546-1900 | |
(574) 546-1999 |
Full Name | James B Shackson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 36 Years |
Location | 4400 Easton Cmns Ste 125, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831185545 | NPI | - | NPPES |
DF6496 | Other | OH | RR MEDICARE |
0934725 | Medicaid | OH |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guidestar Eldercare Corp -oh | 9739504523 | 23 |
Entity Name | Lee Side Wellness Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841731510 PECOS PAC ID: 4587934823 Enrollment ID: O20170719003872 |
Entity Name | Guidestar Eldercare Corp -oh |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962023424 PECOS PAC ID: 9739504523 Enrollment ID: O20200811001532 |
Mailing Address | Practice Location Address |
---|---|
James B Shackson, MD Po Box 11167, Fort Wayne, IN 46856-1167 Ph: (574) 546-1900 | James B Shackson, MD 4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 Ph: (574) 546-1900 |
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