Salem Shehadeh Shahin, MD - Medicare Urology in Williston, ND

Salem Shehadeh Shahin, MD is a medicare enrolled "Urology" physician in Williston, North Dakota. His current practice location is 1219 Knoll St, Williston, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 572-0127.

Salem Shehadeh Shahin is licensed to practice in North Dakota (license number 4571) 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 1578529392.

Contact Information

Salem Shehadeh Shahin, MD
1219 Knoll St,
Williston, ND 58801
(701) 572-0127
(701) 572-4472



Physician's Profile

Full NameSalem Shehadeh Shahin
GenderMale
SpecialityUrology
Location1219 Knoll St, Williston, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578529392
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 12/21/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9739220088
  • Enrollment ID: I20100108000186

Medical Identifiers

Medical identifiers for Salem Shehadeh Shahin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578529392NPI-NPPES
13783MedicaidND
0000082800OtherMTBCBS MT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 4571 (North Dakota)Primary
208800000XUrology 4737 (Montana)Secondary

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. Salem Shehadeh Shahin allows following entities to bill medicare on his behalf.
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336

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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. Salem Shehadeh Shahin 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
Salem Shehadeh Shahin, MD
1219 Knoll St,
Williston, ND 58801

Ph: (701) 572-0127
Salem Shehadeh Shahin, MD
1219 Knoll St,
Williston, ND 58801

Ph: (701) 572-0127

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Urology Doctors in Williston, ND


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