Shan R Fairbanks, DO - Medicare Family Practice in Dublin, VA

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Shan R Fairbanks, DO is a medicare enrolled "Family Medicine" physician in Dublin, Virginia. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carilion Healthcare Corporation and his current practice location is 118 Broad St, Dublin, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 674-8805.

Shan R Fairbanks is licensed to practice in Virginia (license number 0102204926) 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 1003202847.

Contact Information

Shan R Fairbanks, DO
118 Broad St,
Dublin, VA 24084-3211
(540) 674-8805
(540) 674-8670

Map and Direction




Physician's Profile

Full NameShan R Fairbanks
GenderMale
SpecialityFamily Practice
Experience9 Years
Location118 Broad St, Dublin, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shan R Fairbanks graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1003202847
  • Provider Enumeration Date: 04/08/2015
  • Last Update Date: 06/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921388521
  • Enrollment ID: I20180227000607

Medical Identifiers

Medical identifiers for Shan R Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003202847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0102204926 (Virginia)Primary
207QS0010XFamily Medicine - Sports Medicine 0102204926 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeRoanoke, VAHome health agency
Carilion New River Valley Medical CenterChristiansburg, VAHospital
Lewisgale Hospital PulaskiPulaski, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carilion Healthcare Corporation5890607253419

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. Shan R Fairbanks allows following entities to bill medicare on his behalf.
Entity NameCarilion Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447206370
PECOS PAC ID: 5890607253
Enrollment ID: O20031106000273
Entity NameSideline Orthopedics And Sports Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841649068
PECOS PAC ID: 3072801612
Enrollment ID: O20161013001342

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. Shan R Fairbanks 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
Shan R Fairbanks, DO
213 S Jefferson St Ste 625,
Roanoke, VA 24011-1713

Ph: (540) 224-5516		Shan R Fairbanks, DO
118 Broad St,
Dublin, VA 24084-3211

Ph: (540) 674-8805

Reviews and Comments


Family Medicine Doctors in Dublin, VA

Dr. Linda Sue Cheek, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28 Town Center Dr, Dublin, VA 24084
Phone: 540-674-6200    Fax: 540-674-9213
April Loving Andrews, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 118 Broad St, Dublin, VA 24084
Phone: 540-674-8805    
Dr. Caleb Vass, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4550 Lee Hwy Ste B, Dublin, VA 24084
Phone: 540-674-4560    Fax: 540-674-4713
Dr. Christine Marie Ullman, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 118 Main Street, Dublin, VA 24084
Phone: 540-674-8805    Fax: 540-674-8670
Michael Ross Simpson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5570 Cougar Trail Rd, Suite 320, Dublin, VA 24084
Phone: 757-955-2828    Fax: 757-955-2829

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.