James W Shore, MD in Martin, TN - Medicare General Practice

James W Shore, MD is a medicare enrolled "Family Medicine" physician in Martin, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1964 and has 60 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Martin Medical Center Pc and his current practice location is 117 Kennedy Dr, Martin, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 587-9511.

James W Shore is licensed to practice in Tennessee (license number MD5113) 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 1790784106.

Contact Information

	James W Shore, MD
	117 Kennedy Dr, Martin, TN 38237-3394
	(731) 587-9511
	(877) 309-6416

Map and Direction

Physician's Profile

Full Name	James W Shore
Gender	Male
Speciality	General Practice
Experience	60 Years
Location	117 Kennedy Dr, Martin, Tennessee
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:

James W Shore attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1964

NPI Data:

NPI Number: 1790784106
Provider Enumeration Date: 07/18/2005
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 6800844093
Enrollment ID: I20091229000123

Medical Identifiers

Medical identifiers for James W Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790784106	NPI	-	NPPES
712671	Other		WELLCARE
3005840	Other	TN	BLUE CROSS BLUE SHIELD
3005840	Other	TN	BCBS
3144167	Medicaid	TN
4482791	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD5113 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Martin Medical Center Pc	9436127008	4

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. James W Shore allows following entities to bill medicare on his behalf.

Entity Name	Martin Medical Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629740758 PECOS PAC ID: 9436127008 Enrollment ID: O20040921001035

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. James W Shore 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
James W Shore, MD 117 Kennedy Dr, Martin, TN 38237-3309 Ph: (731) 587-9511	James W Shore, MD 117 Kennedy Dr, Martin, TN 38237-3394 Ph: (731) 587-9511

Reviews and Comments

Family Medicine Doctors in Martin, TN

Dr. Kenneth W Carr, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Mount Pelia Rd, Martin, TN 38237 Phone: 731-587-5353
Audie B Marlar Jr., PA Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 731-587-0785
Susan S Lowry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kennedy Dr, Martin, TN 38237 Phone: 731-587-9511 Fax: 877-309-6416

James W Shore, MD - Medicare General Practice in Martin, TN