Shawn Wayne Thomas, DO | |
311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114-2757 | |
(386) 254-4199 | |
(386) 947-4680 |
Full Name | Shawn Wayne Thomas |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 22 Years |
Location | 311 N Clyde Morris Blvd Ste 360, Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043416506 | NPI | - | NPPES |
3810024050 | Medicaid | WV | |
000282900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0S013305 (Pennsylvania) | Secondary |
208800000X | Urology | OS10348 (Florida) | Primary |
208800000X | Urology | 2603 (West Virginia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Halifax Health Medical Center | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Health Systems Inc | 9739081142 | 83 |
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 |
Entity Name | Halifax Healthcare Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
Entity Name | Memorial Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
Mailing Address | Practice Location Address |
---|---|
Shawn Wayne Thomas, DO Po Box 864074, Orlando, FL 32886-4074 Ph: (386) 254-4199 | Shawn Wayne Thomas, DO 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114-2757 Ph: (386) 254-4199 |
Dr. Bennett Peter Scaglia, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 311 N Clyde Morris Blvd, Suite 360, Daytona Beach, FL 32114 Phone: 386-254-4199 Fax: 386-947-4680 | |
Dr. Sean Tirney, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1925 S Atlantic Ave, Suite #609, Daytona Beach, FL 32118 Phone: 386-747-4240 | |
Michael Doughney Dineen, MD Urology Medicare: Medicare Enrolled Practice Location: 545 Health Blvd, Daytona Beach, FL 32114 Phone: 386-239-8500 | |
Dr. Charles E Womack, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4199 Fax: 386-947-4680 | |
Dr. Tony L Cantwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 545 Health Blvd, Daytona Beach, FL 32114 Phone: 386-239-8500 | |
Matthew M Merrell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 545 Health Blvd, Daytona Beach, FL 32114 Phone: 386-239-8500 |