Dr Michael Mcshan, MD is a medicare enrolled "General Practice" physician in Kilgore, Texas. His current practice location is
1711 S Henderson Blvd, Suite 100, Kilgore, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 315-3800.
Dr Michael Mcshan is licensed to practice in Texas (license number E4519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912082249.
Physician's Profile
| Full Name | Dr Michael Mcshan |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1711 S Henderson Blvd, Kilgore, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912082249
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 11/14/2014
Medicare PECOS Information:
- PECOS PAC ID: 9335307776
- Enrollment ID: I20120220000541
Medical Identifiers
Medical identifiers for Dr Michael Mcshan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912082249 | NPI | - | NPPES |
| 752883733 | Other | TX | TAX ID |
| 00BP62 | Other | TX | BLUE CROSS BLUE SHIELD |
| 130926203 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | E4519 (Texas) | Secondary |
| 207Q00000X | Family Medicine | E4519 (Texas) | Secondary |
| 208D00000X | General Practice | E4519 (Texas) | Primary |
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 Michael Mcshan allows following entities to bill medicare on his behalf.
| Entity Name | East Texas Medical Center Healthcare Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124062484
PECOS PAC ID: 3678486222
Enrollment ID: O20031114000152 |
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| Entity Name | Etmc Physician Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609382662
PECOS PAC ID: 4486915600
Enrollment ID: O20180305002106 |
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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. Dr Michael Mcshan 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 |
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Dr Michael Mcshan, MD
Po Box 731218,
Dallas, TX 75373-1218
Ph: (903) 315-3800 | Dr Michael Mcshan, MD
1711 S Henderson Blvd, Suite 100,
Kilgore, TX 75662-3563
Ph: (903) 315-3800 |
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