Shahada Ghaleb Shalash, MD is a medicare enrolled "General Practice" physician in Westfield, Wisconsin. His current practice location is
113 E 2nd St, Westfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 296-3207.
Shahada Ghaleb Shalash is licensed to practice in Wisconsin (license number 33963) 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 1760479422.
Physician's Profile
Full Name | Shahada Ghaleb Shalash |
---|
Gender | Male |
---|
Speciality | General Practice |
---|
Location | 113 E 2nd St, Westfield, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760479422
- Provider Enumeration Date: 09/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466619291
- Enrollment ID: I20120207000525
Medical Identifiers
Medical identifiers for Shahada Ghaleb Shalash such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760479422 | NPI | - | NPPES |
31889100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 33963 (Wisconsin) | Primary |
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. Shahada Ghaleb Shalash 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 |
Shahada Ghaleb Shalash, MD Po Box 245, Westfield, WI 53964-0245 Ph: (608) 296-3207 | Shahada Ghaleb Shalash, MD 113 E 2nd St, Westfield, WI 53964-9101 Ph: (608) 296-3207 |
Reviews and Comments