Loyal Shane Farley, DO - Medicare General Practice in Wasilla, AK

Loyal Shane Farley, DO is a medicare enrolled "General Practice" physician in Wasilla, Alaska. His current practice location is 950 E Bogard Rd Ste 103, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 352-2880.

Loyal Shane Farley is licensed to practice in Alaska (license number 192430) 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 1659930006.

Contact Information

Loyal Shane Farley, DO
950 E Bogard Rd Ste 103,
Wasilla, AK 99654-7184
(907) 352-2880
Not Available



Physician's Profile

Full NameLoyal Shane Farley
GenderMale
SpecialityGeneral Practice
Location950 E Bogard Rd Ste 103, Wasilla, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659930006
  • Provider Enumeration Date: 06/10/2019
  • Last Update Date: 08/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375901002
  • Enrollment ID: I20230628000029

Medical Identifiers

Medical identifiers for Loyal Shane Farley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659930006NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 192430 (Alaska)Secondary
208D00000XGeneral Practice 192430 (Alaska)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. Loyal Shane Farley allows following entities to bill medicare on his behalf.
Entity NameMat Su Valley Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912950148
PECOS PAC ID: 5698686475
Enrollment ID: O20040123000583

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Entity NameMatsu Emergency Medicine Physicians Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073548129
PECOS PAC ID: 1557251022
Enrollment ID: O20040318000130

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Entity NameMat-su Valley Iii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366752560
PECOS PAC ID: 5496941502
Enrollment ID: O20101130001385

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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. Loyal Shane Farley 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
Loyal Shane Farley, DO
307 Grizzly Trl,
Harker Heights, TX 76548-5628

Ph: () -
Loyal Shane Farley, DO
950 E Bogard Rd Ste 103,
Wasilla, AK 99654-7184

Ph: (907) 352-2880

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› Verified 8 days ago


General Practice Doctors in Wasilla, AK


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