Dr Sean Robert Scanlon, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Kissimmee, Florida. His current practice location is
720 W Oak St Ste 201, Kissimmee, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 518-2702.
Dr Sean Robert Scanlon is licensed to practice in Florida (license number TRN28938) 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 1972062800.
Physician's Profile
Full Name | Dr Sean Robert Scanlon |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 720 W Oak St Ste 201, Kissimmee, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972062800
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759827132
- Enrollment ID: I20240722002295
Medical Identifiers
Medical identifiers for Dr Sean Robert Scanlon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972062800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | TRN28938 (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Florida) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | TRN28938 (Florida) | 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 Sean Robert Scanlon allows following entities to bill medicare on his behalf.
Entity Name | Kaleida Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639209596 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
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Entity Name | University At Buffalo Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508898305 PECOS PAC ID: 4183612799 Enrollment ID: O20040503001532 |
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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 Sean Robert Scanlon 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 |
Dr Sean Robert Scanlon, MD 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 Ph: (407) 518-2702 | Dr Sean Robert Scanlon, MD 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 Ph: (407) 518-2702 |
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