Shawn Shadell Fugate, MD is a medicare enrolled "Family Medicine" physician in Pineville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Grace Community Health Center, Inc. and his current practice location is
313 S Cherry St, Pineville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 654-3338.
Shawn Shadell Fugate is licensed to practice in Kentucky (license number 26778) 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 1609813807.
Physician's Profile
| Full Name | Shawn Shadell Fugate |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 313 S Cherry St, Pineville, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawn Shadell Fugate attended and graduated from University Of Louisville School Of Medicine in 1987
NPI Data:
- NPI Number: 1609813807
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 01/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395748511
- Enrollment ID: I20060808000491
Medical Identifiers
Medical identifiers for Shawn Shadell Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609813807 | NPI | - | NPPES |
| 000000068941 | Other | KY | BLUE CROSS |
| 64267784 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 26778 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grace Community Health Center, Inc. | 3870654064 | 59 |
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 Shadell Fugate allows following entities to bill medicare on his behalf.
| Entity Name | Grace Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568625648
PECOS PAC ID: 3870654064
Enrollment ID: O20081211000571 |
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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. Shawn Shadell Fugate 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 |
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Shawn Shadell Fugate, MD
526 W Kentucky Ave,
Pineville, KY 40977-1343
Ph: (606) 337-3223 | Shawn Shadell Fugate, MD
313 S Cherry St,
Pineville, KY 40977-1724
Ph: (606) 654-3338 |
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