Dr Mark William Shaffer, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Monroe, Georgia. He went to Temple University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Podiatry. His current practice location is
513b Great Oaks Dr, Monroe, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 267-9391.
Dr Mark William Shaffer is licensed to practice in Georgia (license number POD000585) 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 1023015146.
Healthcare Provider's Profile
| Full Name | Dr Mark William Shaffer |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 38 Years |
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| Location | 513b Great Oaks Dr, Monroe, Georgia |
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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:
- Dr Mark William Shaffer attended and graduated from Temple University School Of Medicine in 1986
NPI Data:
- NPI Number: 1023015146
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 09/20/2010
Medicare PECOS Information:
- PECOS PAC ID: 6507952231
- Enrollment ID: I20100707000527
Medical Identifiers
Medical identifiers for Dr Mark William Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023015146 | NPI | - | NPPES |
| 00401497B | Medicaid | GA | |
| 00401497C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000585 (Georgia) | Primary |
Medical Facilities Affiliation
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. Dr Mark William Shaffer allows following entities to bill medicare on his behalf.
| Provider Name | Achilles Foot & Ankle Specialist |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689868085
PECOS PAC ID: 1557352127
Enrollment ID: O20040521000562 |
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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. Dr Mark William Shaffer 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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Dr Mark William Shaffer, DPM
513b Great Oaks Dr,
Monroe, GA 30655-8211
Ph: (770) 267-9391 | Dr Mark William Shaffer, DPM
513b Great Oaks Dr,
Monroe, GA 30655-8211
Ph: (770) 267-9391 |
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