Leonid Mironovich Shamban, DO in Saint Clair Shores, MI

Leonid Mironovich Shamban, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Saint Clair Shores, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gi Medical Assoc Pc and his current practice location is 28963 Little Mack Ave Ste 101, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 447-0700.

Leonid Mironovich Shamban is licensed to practice in Michigan (license number 5101019763) 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 1225398431.

Contact Information

	Leonid Mironovich Shamban, DO
	28963 Little Mack Ave Ste 101, Saint Clair Shores, MI 48081
	(586) 447-0700
	(586) 498-0707

Map and Direction

Physician's Profile

Full Name	Leonid Mironovich Shamban
Gender	Male
Speciality	Gastroenterology
Experience	12 Years
Location	28963 Little Mack Ave Ste 101, Saint Clair Shores, Michigan
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:

Leonid Mironovich Shamban attended and graduated from Michigan State University College Of Osteopathic Medicine in 2012

NPI Data:

NPI Number: 1225398431
Provider Enumeration Date: 05/22/2012
Last Update Date: 05/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7416258975
Enrollment ID: I20160708002060

Medical Identifiers

Medical identifiers for Leonid Mironovich Shamban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225398431	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	5101019763 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St John Hospital	Detroit, MI	Hospital
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital
Beaumont Hospital - Grosse Pointe	Grosse pointe, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gi Medical Assoc Pc	3375525215	13

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. Leonid Mironovich Shamban allows following entities to bill medicare on his behalf.

Entity Name	Gi Medical Assoc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154311405 PECOS PAC ID: 3375525215 Enrollment ID: O20040603001029

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. Leonid Mironovich Shamban 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
Leonid Mironovich Shamban, DO 28963 Little Mack Ave Ste 101, Saint Clair Shores, MI 48081-3017 Ph: (586) 447-0228	Leonid Mironovich Shamban, DO 28963 Little Mack Ave Ste 101, Saint Clair Shores, MI 48081 Ph: (586) 447-0700

Reviews and Comments

Internal Medicine Doctors in Saint Clair Shores, MI

Jahnavi Chakrala, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080 Phone: 586-267-0200 Fax: 313-343-4412
Kimberley Demerle, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081 Phone: 586-772-5550 Fax: 586-772-2470
Maridel Aileen Hernandez, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-445-7900 Fax: 586-445-7940
Daniel Shelden, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 Phone: 586-447-8021 Fax: 586-447-8022
Dr. Demetrios Mermiges, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-772-6850 Fax: 586-772-3810
Zaid Kasmikha, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-498-0440 Fax: 586-498-0429
Dr. Marybeth Hardwicke, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080 Phone: 586-778-4080 Fax: 586-778-6055

Leonid Mironovich Shamban, DO - Medicare Gastroenterology in Saint Clair Shores, MI