Dr Shawn D Jones, MD - Medicare Pediatrics in Council Bluffs, IA

Dr Shawn D Jones, MD is a medicare enrolled "Pediatrics" physician in Council Bluffs, Iowa. His current practice location is 1 Edmundson Pl, Council Bluffs, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 396-4310.

Dr Shawn D Jones is licensed to practice in Iowa (license number 36226) 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 1952418592.

Contact Information

Dr Shawn D Jones, MD
1 Edmundson Pl,
Council Bluffs, IA 51503-4658
(712) 396-4310
(712) 396-7069

Map and Direction




Physician's Profile

Full NameDr Shawn D Jones
GenderMale
SpecialityPediatrics
Location1 Edmundson Pl, Council Bluffs, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952418592
  • Provider Enumeration Date: 08/23/2006
  • Last Update Date: 12/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2163456591
  • Enrollment ID: I20050923000973

Medical Identifiers

Medical identifiers for Dr Shawn D Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952418592NPI-NPPES
47068731712MedicaidNE
1952418592MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 36226 (Iowa)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. Dr Shawn D Jones allows following entities to bill medicare on his behalf.
Entity NamePhysicians Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20040129000296
Entity NamePottawattamie County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053881102
PECOS PAC ID: 9436495231
Enrollment ID: O20190116001175

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 Shawn D Jones 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 Shawn D Jones, MD
Po Box 3755,
Omaha, NE 68103-0755

Ph: (402) 354-2100
Dr Shawn D Jones, MD
1 Edmundson Pl,
Council Bluffs, IA 51503-4658

Ph: (712) 396-4310

Reviews and Comments


Pediatrics Doctors in Council Bluffs, IA

Philip Walter Meyer, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 Ridge St, Suite 314, Council Bluffs, IA 51503
Phone: 712-322-0253    Fax: 712-322-5273
Enehomere I. Okoruwa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3135 W Broadway, Council Bluffs, IA 51501
Phone: 712-328-9100    
Dr. Dennis Jones, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1326 Skyline Dr, Council Bluffs, IA 51503
Phone: 712-396-4310    
Scott B Bomgaars, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 Ridge St, Suite 105, Council Bluffs, IA 51503
Phone: 712-396-5437    
Dr. Andrew Maxwell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1 Edmundson Pl, Council Bluffs, IA 51503
Phone: 712-396-4310    Fax: 712-396-7069

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).

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