Dr Cornelius J Shaneyfelt, OD is a medicare enrolled "Optometrist" provider in Knightstown, Indiana. His current practice location is
12 N Jefferson St, Knightstown, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 345-5405.
Dr Cornelius J Shaneyfelt is licensed to practice in Indiana (license number 18001864B) 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 1962556118.
Healthcare Provider's Profile
Full Name | Dr Cornelius J Shaneyfelt |
---|
Gender | Male |
---|
Speciality | Optometrist |
---|
Location | 12 N Jefferson St, Knightstown, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962556118
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 11/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658285473
- Enrollment ID: I20031117000402
Medical Identifiers
Medical identifiers for Dr Cornelius J Shaneyfelt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962556118 | NPI | - | NPPES |
100183230A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 18001864B (Indiana) | 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. Dr Cornelius J Shaneyfelt 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 |
Dr Cornelius J Shaneyfelt, OD Po Box 25, Knightstown, IN 46148-0025 Ph: (765) 345-5405 | Dr Cornelius J Shaneyfelt, OD 12 N Jefferson St, Knightstown, IN 46148-1243 Ph: (765) 345-5405 |
Reviews and Comments