Dr Shannon Wayne Altazan, DO - Medicare Emergency Medicine in Charleston, WV

Dr Shannon Wayne Altazan, DO is a medicare enrolled "Emergency Medicine" physician in Charleston, West Virginia. His current practice location is 3110 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-7170.

Dr Shannon Wayne Altazan is licensed to practice in Ohio (license number 34.015793) 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 1477057883.

Contact Information

Dr Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210
(304) 388-7170
Not Available



Physician's Profile

Full NameDr Shannon Wayne Altazan
GenderMale
SpecialityEmergency Medicine
Location3110 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477057883
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345288734
  • Enrollment ID: I20220616000634

Medical Identifiers

Medical identifiers for Dr Shannon Wayne Altazan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477057883NPI-NPPES
0485813MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 3742 (West Virginia)Secondary
207P00000XEmergency Medicine 34.015793 (Ohio)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. Dr Shannon Wayne Altazan allows following entities to bill medicare on his behalf.
Entity NameEpmg Of Ohio Inc P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841232196
PECOS PAC ID: 1052223799
Enrollment ID: O20031103000158

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Entity NameSteel Valley Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831145275
PECOS PAC ID: 3577511195
Enrollment ID: O20050110000903

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Entity NameTrinity Hospital Twin City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992096192
PECOS PAC ID: 6204004534
Enrollment ID: O20111206000207

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Entity NameColumbiana Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336618628
PECOS PAC ID: 9830437508
Enrollment ID: O20190205003349

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Entity NameEast Ohio Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508480930
PECOS PAC ID: 6305260753
Enrollment ID: O20200720000706

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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 Shannon Wayne Altazan 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 AddressPractice Location Address
Dr Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: () -
Dr Shannon Wayne Altazan, DO
3110 Maccorkle Ave Se,
Charleston, WV 25304-1210

Ph: (304) 388-7170

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AVANIR Pharmaceuticals, Inc., today announced it will present three scientific posters featuring detailed Zenvia™ (dextromethorphan/quinidine) safety and efficacy data from the double-blind phase and the open label extension of the Phase III confirmatory STAR trial at the American Academy of Neurology Annual Meeting in Toronto, Canada, taking place April 10 - 17, 2010.

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BioTrends is pleased to announce the fielding of a new syndicated report, LaunchTrends®: ACTEMRA. Roche, Inc. announced that they received FDA approval for Actemra (generic name: tocilizumab) on January 8th. This represents the first IL-6 receptor inhibitor agent approved for Rheumatoid Arthritis (RA); Actemra is approved for adult patients with moderately-to-severely active RA who have had an inadequate response to one or more TNF antagonist therapies. Actemra represents the fourth IV Infusion product in the RA Market and the first infusion product with monthly maintenance dosing.

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Emergency Medicine Doctors in Charleston, WV

Barry Michael Mitchell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 419 Brooks St, Charleston, WV 25301
Phone: 304-395-0401    
Adam Thomas Crawford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-7170    Fax: 304-388-4621
Dr. Hunter Nielsen, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    Fax: 304-388-3360
Lauren B Wright,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Bradley Nine, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Calvin Huan Yang, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Roger Taylor, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-647-6006    

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