John Shalley Carroll, DPM - Medicare Podiatrist in Maumee, OH

John Shalley Carroll, DPM is a medicare enrolled "Podiatrist" provider in Maumee, Ohio. He went to Kent State University College Of Podiatric Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Podiatric Associates Of Northwest Ohio, Inc. and his current practice location is 609 Ford St, Maumee, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 893-5539.

John Shalley Carroll is licensed to practice in Ohio (license number 36 001951) 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 1417956483.

Contact Information

John Shalley Carroll, DPM
609 Ford St,
Maumee, OH 43537-1947
(419) 893-5539
(419) 893-6853



Healthcare Provider's Profile

Full NameJohn Shalley Carroll
GenderMale
SpecialityPodiatry
Experience44 Years
Location609 Ford St, Maumee, Ohio
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:
  • John Shalley Carroll attended and graduated from Kent State University College Of Podiatric Medicine in 1980
  NPI Data:
  • NPI Number: 1417956483
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 02/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9335115716
  • Enrollment ID: I20040915001256

Medical Identifiers

Medical identifiers for John Shalley Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417956483NPI-NPPES
00059OtherOHPARAMOUNT
000000135410OtherANTHEM
0447047MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 36 001951 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Podiatric Associates Of Northwest Ohio, Inc.54967209067

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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. John Shalley Carroll allows following entities to bill medicare on his behalf.
Provider NamePodiatric Associates Of Northwest Ohio, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588664296
PECOS PAC ID: 5496720906
Enrollment ID: O20040828000137

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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. John Shalley Carroll 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
John Shalley Carroll, DPM
609 Ford St,
Maumee, OH 43537-1947

Ph: (419) 893-5539
John Shalley Carroll, DPM
609 Ford St,
Maumee, OH 43537-1947

Ph: (419) 893-5539

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Podiatrist in Maumee, OH

Michael David Cardinal, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 609 Ford St, Maumee, OH 43537
Phone: 419-893-5539    Fax: 419-893-6853
John William Lane, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 609 Ford St, Maumee, OH 43537
Phone: 419-893-5539    Fax: 419-893-6853
Gentle Footcare Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 609 Ford Street, Maumee, OH 43537
Phone: 419-893-5539    Fax: 614-239-1080
Matthew Miles Wilkin, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 609 Ford St, Maumee, OH 43537
Phone: 419-893-5539    Fax: 419-893-6853
Ohio Podiatric Physicians And Surgeons Group, Llc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 5757 Monclova Rd, Suite 5, Maumee, OH 43537
Phone: 419-893-5757    Fax: 419-893-5399
Timothy David Gilbert, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3054 Pleasant Hill Rd, Maumee, OH 43537
Phone: 419-861-9595    Fax: 419-861-9696

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