Dr Shannon Smith Tiebout, DO - Medicare Family Practice in Loris, SC

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Dr Shannon Smith Tiebout, DO is a medicare enrolled "Family Medicine" physician in Loris, South Carolina. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mcleod Regional Medical Center Of The Pee Dee, Inc and her current practice location is 3418 Casey St, Loris, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 756-7885.

Dr Shannon Smith Tiebout is licensed to practice in South Carolina (license number 82954) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205488848.

Contact Information

Dr Shannon Smith Tiebout, DO
3418 Casey St,
Loris, SC 29569-2904
(843) 756-7885
(843) 756-7855

Map and Direction




Physician's Profile

Full NameDr Shannon Smith Tiebout
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location3418 Casey St, Loris, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shannon Smith Tiebout graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1205488848
  • Provider Enumeration Date: 07/14/2019
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224465042
  • Enrollment ID: I20220802000444

Medical Identifiers

Medical identifiers for Dr Shannon Smith Tiebout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205488848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 82954 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of ConwayConway, SCHome health agency
Mcleod Home Health IncFlorence, SCHome health agency
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital
Mcleod Loris HospitalLoris, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcleod Regional Medical Center Of The Pee Dee, Inc7416851852401

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 Shannon Smith Tiebout allows following entities to bill medicare on her behalf.
Entity NameMcleod Regional Medical Center Of The Pee Dee, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251
Entity NameMcleod Physician Associates Ii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568

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 Shannon Smith Tiebout 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 AddressPractice Location Address
Dr Shannon Smith Tiebout, DO
3418 Casey St,
Loris, SC 29569-2904

Ph: (843) 756-7885		Dr Shannon Smith Tiebout, DO
3418 Casey St,
Loris, SC 29569-2904

Ph: (843) 756-7885

Reviews and Comments


Family Medicine Doctors in Loris, SC

Noman Ghiasi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3817 Main St, Loris, SC 29569
Phone: 843-663-8000    Fax: 843-663-8166
Andrew J.r. Sejan, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3418 Casey St, Loris, SC 29569
Phone: 843-756-7885    Fax: 843-756-7855
Brian James Thacker, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3418 Casey St, Loris, SC 29569
Phone: 843-756-7885    Fax: 843-756-7855
Dr. James N Moore Iii, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3655 Mitchell St, Loris, SC 29569
Phone: 843-716-7000    
Benson Lukose, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3418 Casey St, Loris, SC 29569
Phone: 228-867-4968    
Twyla Cummings, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3817 Main St, Loris, SC 29569
Phone: 843-806-2601    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.