David George Short, DO is a medicare enrolled "Otolaryngology" physician in Logansport, Indiana. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Memorial Hospital and his current practice location is
1025 Michigan Avenue, Suite 215, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 753-2222.
David George Short is licensed to practice in Indiana (license number 02001212A) 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 1134184153.
Physician's Profile
Full Name | David George Short |
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Gender | Male |
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Speciality | Otolaryngology |
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Experience | 38 Years |
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Location | 1025 Michigan Avenue, Logansport, Indiana |
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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:
- David George Short graduated from medical school in 1986
NPI Data:
- NPI Number: 1134184153
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 12/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234117201
- Enrollment ID: I20081230000597
Medical Identifiers
Medical identifiers for David George Short such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134184153 | NPI | - | NPPES |
265973 | Other | IN | HARMONY |
000000090844 | Other | IN | ANTHEM |
000000596741 | Other | IN | ANTHEM (LMH) |
5231880002 | Other | IN | CIGNA |
1019948 | Other | IN | TRICARE |
0004358987 | Other | IN | AETNA |
100071010 | Medicaid | IN | |
356001853017 | Other | IN | TRICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207KA0200X | Allergy & Immunology - Allergy | 02001212A (Indiana) | Secondary |
207Y00000X | Otolaryngology | 02001212A (Indiana) | Primary |
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 02001212A (Indiana) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memorial Hospital | 8123923281 | 71 |
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. David George Short allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942317656 PECOS PAC ID: 8123923281 Enrollment ID: O20031206000001 |
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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. David George Short 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 |
David George Short, DO 1025 Michigan Avenue, Suite 215, Logansport, IN 46947-1594 Ph: (574) 753-2222 | David George Short, DO 1025 Michigan Avenue, Suite 215, Logansport, IN 46947-1594 Ph: (574) 753-2222 |
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