Brian J Shields, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Hershey, Pennsylvania. His current practice location is
500 University Dr, Hershey, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 531-8338.
Brian J Shields is licensed to practice in Pennsylvania (license number TPS030775) 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 1811452238.
Healthcare Provider's Profile
Full Name | Brian J Shields |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 500 University Dr, Hershey, Pennsylvania |
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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: 1811452238
- Provider Enumeration Date: 02/11/2019
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971843418
- Enrollment ID: I20190320002420
Medical Identifiers
Medical identifiers for Brian J Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811452238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1217 (West Virginia) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | TPS030775 (Pennsylvania) | Secondary |
103G00000X | Clinical Neuropsychologist | TPS030775 (Pennsylvania) | 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. Brian J Shields allows following entities to bill medicare on his behalf.
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
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Entity Name | University Healthcare Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127 |
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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. Brian J Shields 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 |
Brian J Shields, PHD Po Box 858, Mc Ca410, Hershey, PA 17033-0858 Ph: (717) 531-5814 | Brian J Shields, PHD 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-8338 |
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