Charles Shane Medlock, MD - Medicare Obstetrics/gynecology in Pensacola, FL

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Charles Shane Medlock, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pensacola, Florida. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Sacred Heart Health System Inc and his current practice location is 5153 N 9th Ave Ste 207, Pensacola, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 416-5050.

Charles Shane Medlock is licensed to practice in Florida (license number ME8722) 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 1619125671.

Contact Information

Charles Shane Medlock, MD
5153 N 9th Ave Ste 207,
Pensacola, FL 32504-5705
(850) 416-5050
(850) 416-5022

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Physician's Profile

Full NameCharles Shane Medlock
GenderMale
SpecialityObstetrics/gynecology
Experience19 Years
Location5153 N 9th Ave Ste 207, Pensacola, Florida
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:
  • Charles Shane Medlock graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1619125671
  • Provider Enumeration Date: 09/03/2008
  • Last Update Date: 12/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2567500747
  • Enrollment ID: I20091109000311

Medical Identifiers

Medical identifiers for Charles Shane Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619125671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology ME8722 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sacred Heart HospitalPensacola, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sacred Heart Health System Inc3779491386365

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. Charles Shane Medlock allows following entities to bill medicare on his behalf.
Entity NameSacred Heart Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144271586
PECOS PAC ID: 3779491386
Enrollment ID: O20031125000699
Entity NameSacred Heart Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453308
PECOS PAC ID: 3779491386
Enrollment ID: O20051015000049
Entity NameRule One Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730503905
PECOS PAC ID: 8123259389
Enrollment ID: O20140401001324

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. Charles Shane Medlock 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
Charles Shane Medlock, MD
Po Box 2699,
Pensacola, FL 32513-2699

Ph: (850) 416-5050		Charles Shane Medlock, MD
5153 N 9th Ave Ste 207,
Pensacola, FL 32504-5705

Ph: (850) 416-5050

Reviews and Comments


Obstetrics & Gynecology Doctors in Pensacola, FL

Katrina Hatch, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1657 Trinity Dr, Pensacola, FL 32504
Phone: 850-416-2400    Fax: 850-416-2330
Dr. Jacqueline Christine Castagno, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2120 E Johnson Ave Ste 101, Pensacola, FL 32514
Phone: 850-494-4600    
Victor Fredrick Hultstrand, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 8383 N Davis Hwy, Pensacola, FL 32514
Phone: 850-494-4000    
Heidi Alexander, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1657 Trinity Dr, Pensacola, FL 32504
Phone: 850-416-2400    Fax: 850-416-2330
Elizabeth Danielle Wolfe, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1657 Trinity Dr, Pensacola, FL 32504
Phone: 850-416-2400    Fax: 850-416-2330
Dr. Gary K Person, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5045 Carpenter Creek Dr, Pensacola, FL 32503
Phone: 850-416-2400    Fax: 850-416-2467
Sasha Siassipour,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5045 Carpenter Creek Dr, Pensacola, FL 32503
Phone: 850-416-2418    Fax: 850-416-2460

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.