Shanda Dejoi Newsome, MD is a medicare enrolled "Family Medicine" physician in Leesburg, Georgia. She went to Morehouse School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is
1390 Us Highway 19 S, Leesburg, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 312-7490.
Shanda Dejoi Newsome is licensed to practice in Georgia (license number 73879) 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 1760772313.
Physician's Profile
Full Name | Shanda Dejoi Newsome |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 13 Years |
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Location | 1390 Us Highway 19 S, Leesburg, Georgia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Shanda Dejoi Newsome attended and graduated from Morehouse School Of Medicine in 2011
NPI Data:
- NPI Number: 1760772313
- Provider Enumeration Date: 04/17/2011
- Last Update Date: 01/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436463940
- Enrollment ID: I20150728005479
Medical Identifiers
Medical identifiers for Shanda Dejoi Newsome such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760772313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 73879 (Georgia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Southeast Permanente Medical Group | 6204829013 | 660 |
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. Shanda Dejoi Newsome allows following entities to bill medicare on her behalf.
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
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Entity Name | Phoebe Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
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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. Shanda Dejoi Newsome 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 |
Shanda Dejoi Newsome, MD 1390 Us Highway 19 S, Leesburg, GA 31763-4831 Ph: (229) 312-7490 | Shanda Dejoi Newsome, MD 1390 Us Highway 19 S, Leesburg, GA 31763-4831 Ph: (229) 312-7490 |
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