Shad Misseldine, MD - Medicare Anesthesiology in Phoenix, AZ

Shad Misseldine, MD is a medicare enrolled "Anesthesiology" physician in Phoenix, Arizona. He went to Ohio State University College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. His current practice location is 7600 N 15th St Ste 290, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 312-0855.

Shad Misseldine is licensed to practice in Arizona (license number 43059) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1255523213.

Contact Information

Shad Misseldine, MD
7600 N 15th St Ste 290,
Phoenix, AZ 85020-4336
(602) 312-0855
Not Available

Map and Direction




Physician's Profile

Full NameShad Misseldine
GenderMale
SpecialityAnesthesiology
Experience19 Years
Location7600 N 15th St Ste 290, Phoenix, Arizona
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shad Misseldine attended and graduated from Ohio State University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1255523213
  • Provider Enumeration Date: 08/14/2007
  • Last Update Date: 04/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557485232
  • Enrollment ID: I20100901000899

Medical Identifiers

Medical identifiers for Shad Misseldine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255523213NPI-NPPES
539882MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 43059 (Arizona)Primary

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. Shad Misseldine allows following entities to bill medicare on his behalf.
Entity NameShad Misseldine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164868345
PECOS PAC ID: 6901030717
Enrollment ID: O20131010001120
Entity NameCamelback Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831560176
PECOS PAC ID: 0143205419
Enrollment ID: O20151211001207

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. Shad Misseldine 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 AddressPractice Location Address
Shad Misseldine, MD
7600 N 15th St Ste 290,
Phoenix, AZ 85020-4336

Ph: (602) 312-0855
Shad Misseldine, MD
7600 N 15th St Ste 290,
Phoenix, AZ 85020-4336

Ph: (602) 312-0855

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.