Stephen W Shea, DO is a medicare enrolled "Orthopaedic Surgery" physician in Brookings, Oregon. His current practice location is
500 5th St, Brookings, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 412-2000.
Stephen W Shea is licensed to practice in Oregon (license number DO22320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245226935.
Physician's Profile
| Full Name | Stephen W Shea |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 500 5th St, Brookings, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245226935
- Provider Enumeration Date: 09/27/2005
- Last Update Date: 08/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870588692
- Enrollment ID: I20051121000074
Medical Identifiers
Medical identifiers for Stephen W Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245226935 | NPI | - | NPPES |
| R179204 | Other | OR | MEDICARE FOR RSC |
| 14879696985 | Other | OR | CURRY HEALTH DISTRICT |
| 130298 | Medicaid | OR | |
| R179202 | Other | OR | MEDICARE FOR CHD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 48512-021 (Wisconsin) | Secondary |
| 207X00000X | Orthopaedic Surgery | DO22320 (Oregon) | Primary |
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. Stephen W Shea allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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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. Stephen W Shea 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 |
|---|
Stephen W Shea, DO
94220 4th St,
Gold Beach, OR 97444-7756
Ph: (541) 247-3000 | Stephen W Shea, DO
500 5th St,
Brookings, OR 97415-9702
Ph: (541) 412-2000 |
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