Simon-peter Shaffer, PA is a
Physician Assistant based in Industry, Maine. Simon-peter Shaffer is licensed to practice in Illinois (license number 085.003662) and his current practice location is
64 Henderson Cv Rd, Industry, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 778-5542.
NPI number for Simon-peter Shaffer is 1730361577 and his current mailing address is 64 Henderson Cv Rd, Industry, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730361577.
Provider's Profile
Full Name | Simon-peter Shaffer |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 64 Henderson Cv Rd, Industry, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730361577
- Provider Enumeration Date: 12/04/2007
- Last Update Date: 01/08/2010
Medical Identifiers
Medical identifiers for Simon-peter Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730361577 | NPI | - | NPPES |
ME2191 | Medicaid | ME | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA203 (Maine) | Secondary |
363A00000X | Physician Assistant | 085.003662 (Illinois) | Primary |
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. Simon-peter Shaffer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Simon-peter Shaffer, PA 64 Henderson Cv Rd, Industry, ME 04938-4579 Ph: (207) 778-5542 | Simon-peter Shaffer, PA 64 Henderson Cv Rd, Industry, ME 04938-4579 Ph: (207) 778-5542 |
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