Salem Shehadeh Shahin, MD is a medicare enrolled "Urology" physician in Williston, North Dakota. His current practice location is
1219 Knoll St, Williston, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 572-0127.
Salem Shehadeh Shahin is licensed to practice in North Dakota (license number 4571) 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 1578529392.
Physician's Profile
| Full Name | Salem Shehadeh Shahin |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1219 Knoll St, Williston, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578529392
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 12/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 9739220088
- Enrollment ID: I20100108000186
Medical Identifiers
Medical identifiers for Salem Shehadeh Shahin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578529392 | NPI | - | NPPES |
| 13783 | Medicaid | ND | |
| 0000082800 | Other | MT | BCBS MT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 4571 (North Dakota) | Primary |
| 208800000X | Urology | 4737 (Montana) | Secondary |
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. Salem Shehadeh Shahin allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336 |
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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. Salem Shehadeh Shahin 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 |
|---|
Salem Shehadeh Shahin, MD
1219 Knoll St,
Williston, ND 58801
Ph: (701) 572-0127 | Salem Shehadeh Shahin, MD
1219 Knoll St,
Williston, ND 58801
Ph: (701) 572-0127 |
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