Joel Christopher Shackson, MD | |
Elm And Carlton St, Buffalo, NY 14263 | |
(716) 845-2300 | |
Not Available |
Full Name | Joel Christopher Shackson |
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Gender | Male |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | Elm And Carlton St, Buffalo, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528555711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 331693 (New York) | Primary |
207R00000X | Internal Medicine | 66385 (Tennessee) | Secondary |
Entity Name | Alive Hospice, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184682858 PECOS PAC ID: 0244276608 Enrollment ID: O20050707000451 |
Mailing Address | Practice Location Address |
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Joel Christopher Shackson, MD Elm And Carlton St, Buffalo, NY 14263-0001 Ph: (716) 845-2300 | Joel Christopher Shackson, MD Elm And Carlton St, Buffalo, NY 14263 Ph: (716) 845-2300 |
Musa Saeed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-1374 | |
Dr. Reena Bose, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 899 Main St, Buffalo, NY 14203 Phone: 716-878-2700 Fax: 716-878-2701 | |
Michael S Winnicki, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-4693 | |
John Crane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-829-2676 | |
Samjot S Dhillon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300 Fax: 716-845-1110 | |
Sanjivini Wadhwa, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-4119 | |
Jeffery David Stahl, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-7937 |