Dr David Shane Pendley, MD - Medicare Internal Medicine in Gulfport, MS

Dr David Shane Pendley, MD is a medicare enrolled "Internal Medicine" physician in Gulfport, Mississippi. He went to University Of South Alabama College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 867-4000.

Dr David Shane Pendley is licensed to practice in Alabama (license number 00026907) 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 1548217896.

Contact Information

Dr David Shane Pendley, MD
4500 13th St,
Gulfport, MS 39501-2515
(228) 867-4000
(251) 435-6478

Map and Direction




Physician's Profile

Full NameDr David Shane Pendley
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location4500 13th St, Gulfport, Mississippi
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:
  • Dr David Shane Pendley attended and graduated from University Of South Alabama College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1548217896
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 03/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5698788677
  • Enrollment ID: I20110413000957

Medical Identifiers

Medical identifiers for Dr David Shane Pendley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548217896NPI-NPPES
02936207MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 00026907 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Dr David Shane Pendley allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Dr David Shane Pendley 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
Dr David Shane Pendley, MD
Po Box 555,
Biloxi, MS 39533-0555

Ph: (228) 868-9641
Dr David Shane Pendley, MD
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 867-4000

Reviews and Comments


Internal Medicine Doctors in Gulfport, MS

Dr. Nabil Azar, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501
Phone: 228-575-1400    Fax: 228-575-1414
Indrajit J Patel, MD
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Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152
Dr. Thomas Blanks, M.D.
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Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501
Phone: 228-864-0314    Fax: 228-864-0425
Dr. Stephanie Fussell, M.D.
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Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501
Phone: 228-575-1234    Fax: 228-867-4828
Dr. Malcolm Scott Dean, M.D.
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Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-5201    Fax: 228-867-3152
Matthew Jacob Murray, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12330 Ashley Dr, Gulfport, MS 39503
Phone: 228-831-1572    Fax: 228-831-1218
Dr. Mark D Borchelt, MD, FACE
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4540 W Railroad St, Gulfport, MS 39501
Phone: 228-867-6062    Fax: 228-867-2598

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.