Mr Scott Sholem, is a medicare enrolled "Surgery - Trauma Surgery" provider in Phoenix, Arizona. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Valley Surgical Clinics, Ltd, Acute Care Surgical Specialists Llc and his current practice location is
16601 N 40th St Ste 204, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 996-4747.
Mr Scott Sholem is licensed to practice in Arizona (license number 008470) 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 1114188950.
Healthcare Provider's Profile
Full Name | Mr Scott Sholem |
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Gender | Male |
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Speciality | Critical Care (intensivists) |
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Experience | 10 Years |
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Location | 16601 N 40th St Ste 204, Phoenix, Arizona |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Scott Sholem attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2014
NPI Data:
- NPI Number: 1114188950
- Provider Enumeration Date: 06/24/2008
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820324429
- Enrollment ID: I20200723001059
Medical Identifiers
Medical identifiers for Mr Scott Sholem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114188950 | NPI | - | NPPES |
007970 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 008470 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Valley Surgical Clinics, Ltd | 3577549021 | 16 |
Acute Care Surgical Specialists Llc | 7315106416 | 16 |
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. Mr Scott Sholem allows following entities to bill medicare on his behalf.
Entity Name | Honorhealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350 |
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Entity Name | Valley Surgical Clinics, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962440602 PECOS PAC ID: 3577549021 Enrollment ID: O20040625000945 |
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Entity Name | Acute Care Surgical Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225311871 PECOS PAC ID: 7315106416 Enrollment ID: O20120308000890 |
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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. Mr Scott Sholem 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 Address | Practice Location Address |
Mr Scott Sholem, 16601 N 40th St Ste 204, Phoenix, AZ 85032-3356 Ph: (602) 996-4747 | Mr Scott Sholem, 16601 N 40th St Ste 204, Phoenix, AZ 85032-3356 Ph: (602) 996-4747 |
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