Dr Michael Shawn Mccormack, DDS is a medicare enrolled "Dentist - General Practice" provider in Questa, New Mexico. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Dentist. His current practice location is
2573 State Highway 522, Questa, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(575) 586-0315.
Dr Michael Shawn Mccormack is licensed to practice in New Mexico (license number DB-2026-0084) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1891007225.
Healthcare Provider's Profile
| Full Name | Dr Michael Shawn Mccormack |
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| Gender | Male |
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| Speciality | Dentist |
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| Experience | 16 Years |
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| Location | 2573 State Highway 522, Questa, New Mexico |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Shawn Mccormack graduated from medical school in 2010
NPI Data:
- NPI Number: 1891007225
- Provider Enumeration Date: 07/14/2010
- Last Update Date: 06/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608165592
- Enrollment ID: I20260424002563
Medical Identifiers
Medical identifiers for Dr Michael Shawn Mccormack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891007225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | DB-2026-0084 (New Mexico) | Primary |
| 1223G0001X | Dentist - General Practice | 00201972 (Colorado) | Secondary |
| 1223D0001X | Dentist - Dental Public Health | DE61574138 (Washington) | Secondary |
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 Shawn Mccormack allows following entities to bill medicare on his behalf.
| Entity Name | Presbyterian Medical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871505032
PECOS PAC ID: 2062324684
Enrollment ID: O20031103000414 |
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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 Shawn Mccormack 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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Dr Michael Shawn Mccormack, DDS
2573 State Highway 522,
Questa, NM 87556-0290
Ph: (575) 586-0315 | Dr Michael Shawn Mccormack, DDS
2573 State Highway 522,
Questa, NM 87556-0290
Ph: (575) 586-0315 |
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