Peter M Shepard, MD in Los Alamos, NM - Medicare Otolaryngology

Peter M Shepard, MD is a medicare enrolled "Otolaryngology - Otolaryngology/facial Plastic Surgery" physician in Los Alamos, New Mexico. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey and his current practice location is 3917 West Rd, Ste 200, Los Alamos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 661-4147.

Peter M Shepard is licensed to practice in New Mexico (license number MD2009-0111) 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 1023051232.

Contact Information

	Peter M Shepard, MD
	3917 West Rd, Ste 200, Los Alamos, NM 87544-5301
	(505) 661-4147
	Not Available

Map and Direction

Physician's Profile

Full Name	Peter M Shepard
Gender	Male
Speciality	Otolaryngology
Experience	20 Years
Location	3917 West Rd, Los Alamos, New Mexico
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:

Peter M Shepard graduated from medical school in 2004

NPI Data:

NPI Number: 1023051232
Provider Enumeration Date: 06/14/2006
Last Update Date: 12/16/2020

Medicare PECOS Information:

PECOS PAC ID: 2264585082
Enrollment ID: I20180824001512

Medical Identifiers

Medical identifiers for Peter M Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023051232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	MD2009-0111 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Medical Center - Bend	Bend, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey	7416939954	11

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. Peter M Shepard allows following entities to bill medicare on his behalf.

Entity Name	Central Oregon Ent Llc - Ear Nose Throat And Facial Plastic Surgey
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902813884 PECOS PAC ID: 7416939954 Enrollment ID: O20040607001059

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. Peter M Shepard 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
Peter M Shepard, MD 1620 N Main St, Spanish Fork, UT 84660-1008 Ph: (801) 822-2234	Peter M Shepard, MD 3917 West Rd, Ste 200, Los Alamos, NM 87544-5301 Ph: (505) 661-4147

Peter M Shepard, MD - Medicare Otolaryngology in Los Alamos, NM