Shawn Patrick St Marie, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in Orlando, Florida. His current practice location is
4625 Halder Ln Ste C, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 506-4776.
Shawn Patrick St Marie is licensed to practice in Florida (license number UO2277) 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 1538470877.
Physician's Profile
| Full Name | Shawn Patrick St Marie |
|---|
| Gender | Male |
|---|
| Speciality | Neuromusculoskeletal Medicine & Omm |
|---|
| Location | 4625 Halder Ln Ste C, Orlando, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538470877
- Provider Enumeration Date: 07/01/2010
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335377183
- Enrollment ID: I20140909000551
Medical Identifiers
Medical identifiers for Shawn Patrick St Marie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538470877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 0S12737 (Florida) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | UO2277 (Florida) | Primary |
| 207R00000X | Internal Medicine | UO2277 (Florida) | Secondary |
| 207R00000X | Internal Medicine | MA244984 (Massachusetts) | Secondary |
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. Shawn Patrick St Marie allows following entities to bill medicare on his behalf.
| Entity Name | Florida Hospital Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1225034234
PECOS PAC ID: 0749186153
Enrollment ID: O20031208000807 |
|---|
| Entity Name | Adventist Health System-sunbelt Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780777391
PECOS PAC ID: 4082602214
Enrollment ID: O20040505000557 |
|---|
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. Shawn Patrick St Marie 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 |
|---|
Shawn Patrick St Marie, DO
4625 Halder Ln Ste C,
Orlando, FL 32814-6416
Ph: (407) 506-4776 | Shawn Patrick St Marie, DO
4625 Halder Ln Ste C,
Orlando, FL 32814-6416
Ph: (407) 506-4776 |
Reviews and Comments