Keith Hayden Shamrock, in Daytona Beach, FL

Keith Hayden Shamrock, is a medicare enrolled "Family Medicine" physician in Daytona Beach, Florida. His current practice location is 320 N Clyde Morris Blvd, Daytona Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 676-7175.

Keith Hayden Shamrock is licensed to practice in Florida (license number OS20351) 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 1730717356.

Contact Information

	Keith Hayden Shamrock,
	320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744
	(386) 676-7175
	(386) 676-7135

Map and Direction

Physician's Profile

Full Name	Keith Hayden Shamrock
Gender	Male
Speciality	Family Medicine
Location	320 N Clyde Morris Blvd, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730717356
Provider Enumeration Date: 03/30/2020
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2163841297
Enrollment ID: I20230912003992

Medical Identifiers

Medical identifiers for Keith Hayden Shamrock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730717356	NPI	-	NPPES
119212500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS20351 (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. Keith Hayden Shamrock allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Keith Hayden Shamrock 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
Keith Hayden Shamrock, 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 Ph: (386) 238-3254	Keith Hayden Shamrock, 320 N Clyde Morris Blvd, Daytona Beach, FL 32114-2744 Ph: (386) 676-7175

Reviews and Comments

Family Medicine Doctors in Daytona Beach, FL

Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507
Dr. Jose Omar Burgos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-425-4165 Fax: 386-425-7545

Keith Hayden Shamrock, - Medicare Family Medicine in Daytona Beach, FL