Dr Michael P Shain, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Myers, Florida. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lee Memorial Health System and his current practice location is
12600 Creekside Ln Ste 7, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 343-9220.
Dr Michael P Shain is licensed to practice in Florida (license number PY8801) 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 1902898471.
Healthcare Provider's Profile
| Full Name | Dr Michael P Shain |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 34 Years |
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| Location | 12600 Creekside Ln Ste 7, Fort Myers, Florida |
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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:
- Dr Michael P Shain graduated from medical school in 1991
NPI Data:
- NPI Number: 1902898471
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 02/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315044864
- Enrollment ID: I20131004000110
Medical Identifiers
Medical identifiers for Dr Michael P Shain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902898471 | NPI | - | NPPES |
| 100323640D | Medicaid | IN | |
| 100323640A | Medicaid | IN | |
| 101839200 | Medicaid | FL | |
| 680005356 | Other | | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY8801 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY8801 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lee Memorial Health System | 8729996608 | 1073 |
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. Dr Michael P Shain allows following entities to bill medicare on his behalf.
| Entity Name | Lee Memorial Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604 |
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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. Dr Michael P Shain 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 |
|---|
Dr Michael P Shain, PHD
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-9220 | Dr Michael P Shain, PHD
12600 Creekside Ln Ste 7,
Fort Myers, FL 33919-3353
Ph: (239) 343-9220 |
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