Dominick Anthony Shao-berkery, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waldwick, New Jersey. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is
66 Sheridan Ave, Waldwick, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(415) 999-6543.
Dominick Anthony Shao-berkery is licensed to practice in California (license number 95000377) 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 1205213337.
Provider's Profile
| Full Name | Dominick Anthony Shao-berkery |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 66 Sheridan Ave, Waldwick, New Jersey |
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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:
- Dominick Anthony Shao-berkery graduated from nursing school in 2015
NPI Data:
- NPI Number: 1205213337
- Provider Enumeration Date: 04/27/2015
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608173133
- Enrollment ID: I20220607000152
Medical Identifiers
Medical identifiers for Dominick Anthony Shao-berkery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205213337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 598181 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000377 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Trustees Of Columbia University In The City Of New York | 8527972546 | 1895 |
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. Dominick Anthony Shao-berkery allows following entities to bill medicare on his behalf.
| Entity Name | Trustees Of Columbia University In The City Of New York |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613 |
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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. Dominick Anthony Shao-berkery 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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Dominick Anthony Shao-berkery,
622 West 168th Street, Ph 505, 5th Floor,
New York, NY 10032-3720
Ph: (415) 999-6543 | Dominick Anthony Shao-berkery,
66 Sheridan Ave,
Waldwick, NJ 07463-2210
Ph: (415) 999-6543 |
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