Dr Shane Michael Hawthorne, MD in Orem, UT

Dr Shane Michael Hawthorne, MD is a medicare enrolled "Family Medicine" physician in Orem, Utah. He went to University Of Utah School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Family Medical and his current practice location is 155 W 400 N, Orem, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 224-1300.

Dr Shane Michael Hawthorne is licensed to practice in Utah (license number 5450642-1205) 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 1629462189.

Contact Information

	Dr Shane Michael Hawthorne, MD
	155 W 400 N, Orem, UT 84057-4658
	(801) 224-1300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane Michael Hawthorne
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	155 W 400 N, Orem, Utah
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:

Dr Shane Michael Hawthorne attended and graduated from University Of Utah School Of Medicine in 2015

NPI Data:

NPI Number: 1629462189
Provider Enumeration Date: 03/23/2015
Last Update Date: 08/06/2019

Medicare PECOS Information:

PECOS PAC ID: 0840594388
Enrollment ID: I20191015002700

Medical Identifiers

Medical identifiers for Dr Shane Michael Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629462189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5450642-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Family Medical	7416197785	69

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 Shane Michael Hawthorne allows following entities to bill medicare on his behalf.

Entity Name	Premier Family Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750725735 PECOS PAC ID: 7416197785 Enrollment ID: O20130710000079

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 Shane Michael Hawthorne 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 Shane Michael Hawthorne, MD 830 N 2000 W, Pleasant Grove, UT 84062-4047 Ph: (801) 443-1139	Dr Shane Michael Hawthorne, MD 155 W 400 N, Orem, UT 84057-4658 Ph: (801) 224-1300

Reviews and Comments

Family Medicine Doctors in Orem, UT

Abraham R Tomco, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W 800 N, Suite 220, Orem, UT 84057 Phone: 801-354-8205 Fax: 801-354-8206
Darrell R Stacey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 W 400 N, Orem, UT 84057 Phone: 801-714-3450
Joseph C Bingham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 W 400 N, Orem, UT 84057 Phone: 801-714-3450
Randy L Rogers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 W 400 N, Orem, UT 84057 Phone: 801-714-3450
Andrew Chilberg Judd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 N State St, Orem, UT 84057 Phone: 801-714-5500
Matthew A Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 N State St, Orem, UT 84057 Phone: 801-714-5500
Dr. Justin Abbott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 N State St., Orem, UT 84057 Phone: 801-714-5000

Dr Shane Michael Hawthorne, MD - Medicare Family Practice in Orem, UT