Tajammul Shafique, MD is a medicare enrolled "Surgery" physician in Gilford, New Hampshire. His current practice location is
25 Country Club Rd, Village West, Building 7, Gilford, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 528-1547.
Tajammul Shafique is licensed to practice in New Hampshire (license number 9747) 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 1881764017.
Physician's Profile
Full Name | Tajammul Shafique |
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Gender | Male |
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Speciality | Surgery |
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Location | 25 Country Club Rd, Gilford, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881764017
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 04/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 5092736918
- Enrollment ID: I20051207000646
Medical Identifiers
Medical identifiers for Tajammul Shafique such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881764017 | NPI | - | NPPES |
30009821 | Medicaid | NH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 9747 (New Hampshire) | 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. Tajammul Shafique allows following entities to bill medicare on his behalf.
Entity Name | Lrghealthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700976032 PECOS PAC ID: 8820908189 Enrollment ID: O20040303000982 |
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Entity Name | Concord Hospital-laconia |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053993741 PECOS PAC ID: 7012326259 Enrollment ID: O20210429001355 |
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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. Tajammul Shafique 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 |
Tajammul Shafique, MD Po Box 1328, Auburn, ME 04211-1328 Ph: (207) 784-9185 | Tajammul Shafique, MD 25 Country Club Rd, Village West, Building 7, Gilford, NH 03249-6972 Ph: (603) 528-1547 |
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