Wally Sherman Mahar, MD is a medicare enrolled "General Practice" physician in Highland Park, Michigan. His current practice location is
21 Midland St, Highland Park, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 698-2094.
Wally Sherman Mahar is licensed to practice in Michigan (license number 4301030215) 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 1790730497.
Physician's Profile
Full Name | Wally Sherman Mahar |
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Gender | Male |
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Speciality | General Practice |
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Location | 21 Midland St, Highland Park, Michigan |
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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: 1790730497
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 12/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719938729
- Enrollment ID: I20050208000272
Medical Identifiers
Medical identifiers for Wally Sherman Mahar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790730497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301030215 (Michigan) | 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. Wally Sherman Mahar allows following entities to bill medicare on his behalf.
Entity Name | Wally S Mahar Md Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578862645 PECOS PAC ID: 7810172277 Enrollment ID: O20110428000222 |
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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. Wally Sherman Mahar 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 |
Wally Sherman Mahar, MD 21 Midland St, Highland Park, MI 48203-3727 Ph: (586) 556-1997 | Wally Sherman Mahar, MD 21 Midland St, Highland Park, MI 48203-3727 Ph: (248) 698-2094 |
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