Tajammul Shafique, MD - Medicare Surgery in Gilford, NH

Tajammul Shafique, MD is a medicare enrolled "Surgery" physician in Gilford, New Hampshire. His current practice location is 25 Country Club Rd, Village West, Building 7, Gilford, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 528-1547.

Tajammul Shafique is licensed to practice in New Hampshire (license number 9747) 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 1881764017.

Contact Information

Tajammul Shafique, MD
25 Country Club Rd, Village West, Building 7,
Gilford, NH 03249-6972
(603) 528-1547
(603) 524-5536



Physician's Profile

Full NameTajammul Shafique
GenderMale
SpecialitySurgery
Location25 Country Club Rd, Gilford, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881764017
  • Provider Enumeration Date: 11/08/2006
  • Last Update Date: 04/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5092736918
  • Enrollment ID: I20051207000646

Medical Identifiers

Medical identifiers for Tajammul Shafique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881764017NPI-NPPES
30009821MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 9747 (New Hampshire)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. Tajammul Shafique allows following entities to bill medicare on his behalf.
Entity NameLrghealthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700976032
PECOS PAC ID: 8820908189
Enrollment ID: O20040303000982

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Entity NameConcord Hospital-laconia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053993741
PECOS PAC ID: 7012326259
Enrollment ID: O20210429001355

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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. Tajammul Shafique 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
Tajammul Shafique, MD
Po Box 1328,
Auburn, ME 04211-1328

Ph: (207) 784-9185
Tajammul Shafique, MD
25 Country Club Rd, Village West, Building 7,
Gilford, NH 03249-6972

Ph: (603) 528-1547

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The range of adult primary immune deficiencies is considerable and the majority of patients are diagnosed only after specialist referral, conclude Canadian scientists who identified two novel patient groups with humoral abnormalities.

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› Verified 4 days ago


Surgery Doctors in Gilford, NH

Christopher Weinmann, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 25 Country Club Rd, Village West, Building 7, Gilford, NH 03249
Phone: 603-528-1547    Fax: 603-524-5536

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