Jeffrey B Shackelton, MD
Jeffrey B Shackelton, MD is a Dermatology in Reno, Nevada. Graduated from Harvard Medical School in 2009, 17 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Nevada and Oregon.
- Years since qualifying
- 17
- Trained at
- Harvard Medical School
- Licensed in
- NV, OR
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
640 W Moana LnReno, NV 89509
Phone: (775) 324-0699
Fax: (775) 323-6814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 14618 (NV) |
|---|---|
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence MD185082 (OR) |
Record details
| NPI number | 1699902726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 16, 2009 |
| Last updated in NPPES | November 9, 2021 |
| Certification date | November 9, 2021 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | HARVARD MEDICAL SCHOOL |
| Graduated | 2009 (17 years in practice) |
| Group practice | Mountain West Derm - Blackhart Pllc — 103 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |