Dr David Shane Pendley, MD in Gulfport, MS - Medicare Internal Medicine

Dr David Shane Pendley, MD is a medicare enrolled "Internal Medicine" physician in Gulfport, Mississippi. He went to University Of South Alabama College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4500 13th St, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 867-4000.

Dr David Shane Pendley is licensed to practice in Alabama (license number 00026907) 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 1548217896.

Contact Information

	Dr David Shane Pendley, MD
	4500 13th St, Gulfport, MS 39501-2515
	(228) 867-4000
	(251) 435-6478

Map and Direction

Physician's Profile

Full Name	Dr David Shane Pendley
Gender	Male
Speciality	Internal Medicine
Experience	21 Years
Location	4500 13th St, Gulfport, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Shane Pendley attended and graduated from University Of South Alabama College Of Medicine in 2003

NPI Data:

NPI Number: 1548217896
Provider Enumeration Date: 05/30/2006
Last Update Date: 03/01/2011

Medicare PECOS Information:

PECOS PAC ID: 5698788677
Enrollment ID: I20110413000957

Medical Identifiers

Medical identifiers for Dr David Shane Pendley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548217896	NPI	-	NPPES
02936207	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	00026907 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

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 David Shane Pendley allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 David Shane Pendley 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 David Shane Pendley, MD Po Box 555, Biloxi, MS 39533-0555 Ph: (228) 868-9641	Dr David Shane Pendley, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 867-4000

Reviews and Comments

Internal Medicine Doctors in Gulfport, MS

Dr. Nabil Azar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501 Phone: 228-575-1400 Fax: 228-575-1414
Dr. Fahad Javed, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4215 15th St, Gulfport, MS 39501 Phone: 228-863-5211 Fax: 228-863-4101
Indrajit J Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152
Dr. Thomas Blanks, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501 Phone: 228-864-0314 Fax: 228-864-0425
Dr. Stephanie Fussell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501 Phone: 228-575-1234 Fax: 228-867-4828
Dr. Malcolm Scott Dean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152
Matthew Jacob Murray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Ashley Dr, Gulfport, MS 39503 Phone: 228-831-1572 Fax: 228-831-1218

Dr David Shane Pendley, MD - Medicare Internal Medicine in Gulfport, MS