Richard D Shack, MD - Medicare Family Practice in Alpharetta, GA

Richard D Shack, MD is a medicare enrolled "Family Medicine" physician in Alpharetta, Georgia. He went to University Of Alabama School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southeast Medical Group, P.c. and his current practice location is 3400 C Old Milton Parkway, Suite 270, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 442-1911.

Richard D Shack is licensed to practice in Georgia (license number 061856) 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 1942313572.

Contact Information

Richard D Shack, MD
3400 C Old Milton Parkway, Suite 270,
Alpharetta, GA 30005
(770) 442-1911
(770) 663-8905



Physician's Profile

Full NameRichard D Shack
GenderMale
SpecialityFamily Practice
Experience26 Years
Location3400 C Old Milton Parkway, Alpharetta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard D Shack attended and graduated from University Of Alabama School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1942313572
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 06/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0446253512
  • Enrollment ID: I20100712000324

Medical Identifiers

Medical identifiers for Richard D Shack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942313572NPI-NPPES
009960760MedicaidAL
051502030OtherALBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 22858 (Alabama)Secondary
207Q00000XFamily Medicine 061856 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside HospitalAtlanta, GAHospital
Wellstar North Fulton HospitalRoswell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Medical Group, P.c.357755967396

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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. Richard D Shack allows following entities to bill medicare on his behalf.
Entity NameSoutheast Medical Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347

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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. Richard D Shack 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
Richard D Shack, MD
3400 C Old Milton Parkway, Suite 270,
Alpharetta, GA 30005

Ph: (770) 442-1911
Richard D Shack, MD
3400 C Old Milton Parkway, Suite 270,
Alpharetta, GA 30005

Ph: (770) 442-1911

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Family Medicine Doctors in Alpharetta, GA

Elizabeth T Sergile, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3400 Old Milton Pkwy, Ste A130, Alpharetta, GA 30005
Phone: 770-664-8898    Fax: 770-772-4377
Dr. Stuart Irwin Levin, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1040 Cambridge Sq, Suite E, Alpharetta, GA 30009
Phone: 770-569-2020    Fax: 770-569-5550
Dr. Thomas E Reeths, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5655 Atlanta Hwy Ste A, Alpharetta, GA 30004
Phone: 770-343-6364    
Dr. Satishkumar Mudduranganath Ganjam, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3905 Brookside Pkwy Ste 300, Alpharetta, GA 30022
Phone: 770-442-1911    Fax: 707-442-0306
Mr. Pedro Antonio Ramirez, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 261 North Main Street, Alpharetta, GA 30004
Phone: 770-664-5660    Fax: 770-663-8672
Dr. Mark James Sakr, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Old Milton Pkwy Ste C190, Alpharetta, GA 30005
Phone: 855-647-7678    
Dr. Jignesh R Dholaria, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 260 Rucker Rd Ste 400, Alpharetta, GA 30004
Phone: 470-956-4540    Fax: 770-667-9783

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