Keith Hayden Shamrock, in Gainesville, FL

Keith Hayden Shamrock, is a medicare enrolled "Family Medicine" physician in Gainesville, Florida. His current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 273-5159.

Keith Hayden Shamrock is licensed to practice in Florida (license number OS20351) 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 1730717356.

Contact Information

	Keith Hayden Shamrock,
	1600 Sw Archer Rd, Gainesville, FL 32610-3650
	(352) 273-5159
	(352) 265-9584

Map and Direction

Physician's Profile

Full Name	Keith Hayden Shamrock
Gender	Male
Speciality	Family Medicine
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730717356
Provider Enumeration Date: 03/30/2020
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 2163841297
Enrollment ID: I20230912003992

Medical Identifiers

Medical identifiers for Keith Hayden Shamrock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730717356	NPI	-	NPPES
119212500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS20351 (Florida)	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. Keith Hayden Shamrock allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Keith Hayden Shamrock 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
Keith Hayden Shamrock, Po Box 100237, Gainesville, FL 32610-3001 Ph: (352) 265-1234	Keith Hayden Shamrock, 1600 Sw Archer Rd, Gainesville, FL 32610-3650 Ph: (352) 273-5159

Reviews and Comments

Family Medicine Doctors in Gainesville, FL

Rose Michele Emery, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-392-1161 Fax: 352-846-1422
Dr. Sophia Vanood, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 635 Sw 4th Ave, Family Medicine, Gainesville, FL 32601 Phone: 352-273-5159
Maulik Jitesh Jani, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605 Phone: 412-439-4915
Dr. Kiona R Subramanian, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6228 Nw 43rd St, Suite B, Gainesville, FL 32653 Phone: 352-332-6680 Fax: 352-332-6604
Dr. Xai Ma, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1621 Ne Waldo Rd, Gainesville, FL 32609 Phone: 352-955-5540 Fax: 352-373-5326
Jason Wittlin, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8656
Cindy Marie Barbosa Nunez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1707 N Main St, Gainesville, FL 32609 Phone: 352-265-1234

Keith Hayden Shamrock, - Medicare Family Medicine in Gainesville, FL