Dr Shaun Douglas Mendenhall, MD in Philadelphia, PA

Dr Shaun Douglas Mendenhall, MD is a medicare enrolled "Plastic Surgery" physician in Philadelphia, Pennsylvania. His current practice location is 3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 590-2208.

Dr Shaun Douglas Mendenhall is licensed to practice in Pennsylvania (license number MD460847) 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 1023305018.

Contact Information

	Dr Shaun Douglas Mendenhall, MD
	3401 Civic Center Blvd, Philadelphia, PA 19104-4319
	(215) 590-2208
	(215) 590-2496

Map and Direction

Physician's Profile

Full Name	Dr Shaun Douglas Mendenhall
Gender	Male
Speciality	Plastic Surgery
Location	3401 Civic Center Blvd, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023305018
Provider Enumeration Date: 06/29/2011
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7012156011
Enrollment ID: I20180531000513

Medical Identifiers

Medical identifiers for Dr Shaun Douglas Mendenhall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023305018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	10742767-1205 (Utah)	Secondary
2082S0105X	Plastic Surgery - Surgery Of The Hand	10742767-1205 (Utah)	Secondary
2086S0122X	Surgery - Plastic And Reconstructive Surgery	10742767-1205 (Utah)	Secondary
208200000X	Plastic Surgery	MD460847 (Pennsylvania)	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 Shaun Douglas Mendenhall allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Shaun Douglas Mendenhall 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 Shaun Douglas Mendenhall, MD 30 N 1900 E Rm 6152, Salt Lake City, UT 84132-0002 Ph: (801) 581-7719	Dr Shaun Douglas Mendenhall, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 590-2208

Reviews and Comments

Plastic Surgery Doctors in Philadelphia, PA

Dr. Eugene Park, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3551 N Broad St, Philadelphia, PA 19140 Phone: 215-430-4000
Dr. John Henry Bast, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-285-8300
Benjamin Chang, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-615-3424
Aron David Wahrman, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Civic Center Blvd, 14th Fl, Philadelphia, PA 19104 Phone: 215-662-7300
Suhail K Kanchwala, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 10 Penn Towers, Philadelphia, PA 19104 Phone: 215-662-9990
Michael S Fakhraee, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 7500 Central Ave, Suite 101, Philadelphia, PA 19111 Phone: 215-728-8200 Fax: 215-725-3209

Dr Shaun Douglas Mendenhall, MD - Medicare Plastic Surgery in Philadelphia, PA