Dr Shea Ann Humphrey, DO - Medicare Family Practice in Groveland, FL

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Dr Shea Ann Humphrey, DO is a medicare enrolled "Family Medicine" physician in Groveland, Florida. She went to West Virginia School Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Adventist Health System/sunbelt, Inc. and her current practice location is 1296 W Broad St, Groveland, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 429-4104.

Dr Shea Ann Humphrey is licensed to practice in Florida (license number OS9643) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174543565.

Contact Information

Dr Shea Ann Humphrey, DO
1296 W Broad St,
Groveland, FL 34736-2012
(352) 429-4104
(352) 429-4138

Map and Direction




Physician's Profile

Full NameDr Shea Ann Humphrey
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location1296 W Broad St, Groveland, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shea Ann Humphrey attended and graduated from West Virginia School Of Osteopathic Medicine in 2002
  NPI Data:
  • NPI Number: 1174543565
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 12/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0143242537
  • Enrollment ID: I20051229000149

Medical Identifiers

Medical identifiers for Dr Shea Ann Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174543565NPI-NPPES
279521300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS9643 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health System/sunbelt, Inc.6406849256176

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 Shea Ann Humphrey allows following entities to bill medicare on her behalf.
Entity NameAdventist Health System/sunbelt, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073565610
PECOS PAC ID: 6406849256
Enrollment ID: O20040406001849

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 Shea Ann Humphrey 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 AddressPractice Location Address
Dr Shea Ann Humphrey, DO
110 S Woodland St,
Winter Garden, FL 34787-3546

Ph: (407) 905-8827		Dr Shea Ann Humphrey, DO
1296 W Broad St,
Groveland, FL 34736-2012

Ph: (352) 429-4104

Reviews and Comments


Family Medicine Doctors in Groveland, FL

Reo Malachi Peniston, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1296 W Broad St, Groveland, FL 34736
Phone: 407-905-8827    Fax: 352-429-5606
Dr. Hafusat Abosede Oni, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1296 W Broad St, Groveland, FL 34736
Phone: 407-905-8827    Fax: 352-429-5606
Nelia D D'hoste, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Broad St, Groveland, FL 34736
Phone: 352-429-4101    Fax: 352-429-4072

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.