Shaun R Roof, DO is a medicare enrolled "Otolaryngology" physician in Newark, Ohio. He went to Ohio University, College Of Osteopathic Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice University Primary Care Practices Inc and his current practice location is
88 Mcmillen Drive, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 348-4270.
Shaun R Roof is licensed to practice in Ohio (license number 34.006678) 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 1588745483.
Physician's Profile
| Full Name | Shaun R Roof |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 28 Years |
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| Location | 88 Mcmillen Drive, Newark, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shaun R Roof attended and graduated from Ohio University, College Of Osteopathic Medicine in 1996
NPI Data:
- NPI Number: 1588745483
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 04/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 9638102155
- Enrollment ID: I20070201000092
Medical Identifiers
Medical identifiers for Shaun R Roof such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588745483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 39474 (Colorado) | Secondary |
| 207Y00000X | Otolaryngology | 34.006678 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Primary Care Practices Inc | 3072417534 | 930 |
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. Shaun R Roof allows following entities to bill medicare on his behalf.
| Entity Name | University Primary Care Practices Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767 |
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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. Shaun R Roof 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 |
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Shaun R Roof, DO
88 Mcmillen Drive,
Newark, OH 43055
Ph: (740) 348-4270 | Shaun R Roof, DO
88 Mcmillen Drive,
Newark, OH 43055
Ph: (740) 348-4270 |
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