Truman Stephen Shaddox, MD in Fayetteville, AR

Truman Stephen Shaddox, MD is a medicare enrolled "Urology" physician in Fayetteville, Arkansas. His current practice location is 12 E Appleby Rd, Ste 101, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 463-4444.

Truman Stephen Shaddox is licensed to practice in Arkansas (license number C-4757) 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 1649236951.

Contact Information

	Truman Stephen Shaddox, MD
	12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901
	(479) 463-4444
	(479) 463-4499

Map and Direction

Physician's Profile

Full Name	Truman Stephen Shaddox
Gender	Male
Speciality	Urology
Location	12 E Appleby Rd, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649236951
Provider Enumeration Date: 04/25/2006
Last Update Date: 04/22/2011

Medicare PECOS Information:

PECOS PAC ID: 0749211084
Enrollment ID: I20070529000037

Medical Identifiers

Medical identifiers for Truman Stephen Shaddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649236951	NPI	-	NPPES
106393001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	C-4757 (Arkansas)	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. Truman Stephen Shaddox allows following entities to bill medicare on his behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699731208 PECOS PAC ID: 8820995434 Enrollment ID: O20050912001236

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205073657 PECOS PAC ID: 8820995434 Enrollment ID: O20090420000382

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. Truman Stephen Shaddox 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
Truman Stephen Shaddox, MD 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 Ph: (479) 463-4444	Truman Stephen Shaddox, MD 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 Ph: (479) 463-4444

Reviews and Comments

Urology Doctors in Fayetteville, AR

Richard D Mcwhorter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 East Appleby Rd., Suite 201, Fayetteville, AR 72703 Phone: 479-404-1100 Fax: 479-404-1101
William Vernon Fairchild, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Dr. Aleksandar Cody Blubaum, MD Urology Medicare: Medicare Enrolled Practice Location: 3 E Appleby Rd Ste 201, Fayetteville, AR 72703 Phone: 479-404-1100
Charles Mark Jackson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3 E Appleby Rd Ste 201, Fayetteville, AR 72703 Phone: 479-404-1100 Fax: 479-404-1101
Dr. Issam Toufic Shalhoub, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Michael R Wilson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1300 E Zion Rd, Fayetteville, AR 72703 Phone: 479-521-8980 Fax: 479-521-8982

Truman Stephen Shaddox, MD - Medicare Urology in Fayetteville, AR