Shawn Childress, is a medicare enrolled "Anesthesiologist Assistant" in Charleston, South Carolina. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology Assistant. He is a member of the group practice Bon Secours St Francis Xavier Hospital Inc and his current practice location is
1064 Gardner Rd Ste 112, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 723-3441.
Shawn Childress is licensed to practice in * (Not Available) (license number 6906) 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 1962839209.
Provider's Profile
| Full Name | Shawn Childress |
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| Gender | Male |
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| Speciality | Anesthesiology Assistant |
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| Experience | 11 Years |
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| Location | 1064 Gardner Rd Ste 112, Charleston, South Carolina |
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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:
- Shawn Childress graduated from nursing school in 2013
NPI Data:
- NPI Number: 1962839209
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729213640
- Enrollment ID: I20211213002504
Medical Identifiers
Medical identifiers for Shawn Childress such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962839209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 6906 (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 164 |
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. Shawn Childress allows following entities to bill medicare on his behalf.
| Entity Name | Trident Anesthesia Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376595520
PECOS PAC ID: 5294631545
Enrollment ID: O20031209000391 |
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| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740502822
PECOS PAC ID: 8325008717
Enrollment ID: O20100607000884 |
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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. Shawn Childress 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 |
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Shawn Childress,
2516 Bent Tree Ln,
Mount Pleasant, SC 29464-7563
Ph: () - | Shawn Childress,
1064 Gardner Rd Ste 112,
Charleston, SC 29407-5768
Ph: (843) 723-3441 |
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