Dr Shawn David Vandemark, MD is a medicare enrolled "Plastic Surgery" physician in Valdosta, Georgia. He went to Northeastern Ohio University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Sgmc Physician Network Inc and his current practice location is
2409 N Patterson St Ste 200, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 333-1711.
Dr Shawn David Vandemark is licensed to practice in Georgia (license number 057510) 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 1336188176.
Physician's Profile
| Full Name | Dr Shawn David Vandemark |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 25 Years |
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| Location | 2409 N Patterson St Ste 200, Valdosta, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shawn David Vandemark attended and graduated from Northeastern Ohio University College Of Medicine in 1999
NPI Data:
- NPI Number: 1336188176
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 03/26/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244233989
- Enrollment ID: I20060817000485
Medical Identifiers
Medical identifiers for Dr Shawn David Vandemark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336188176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 057510 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sgmc Physician Network Inc | 4082036843 | 112 |
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 Shawn David Vandemark allows following entities to bill medicare on his behalf.
| Entity Name | Sgmc Physician Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629 |
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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 Shawn David Vandemark 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 Shawn David Vandemark, MD
Po Box 0070,
Valdosta, GA 31603-0070
Ph: (229) 333-1711 | Dr Shawn David Vandemark, MD
2409 N Patterson St Ste 200,
Valdosta, GA 31602-2512
Ph: (229) 333-1711 |
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