Mr Gregg Ian Shore, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Sebring, Florida. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Usa Vein Clinics Of Miami Llc and his current practice location is
4759 Lakeview Dr, Ste 101, Sebring, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 402-5600.
Mr Gregg Ian Shore is licensed to practice in Florida (license number ME91364) 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 1235138983.
Physician's Profile
| Full Name | Mr Gregg Ian Shore |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 37 Years |
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| Location | 4759 Lakeview Dr, Sebring, Florida |
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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. |
Medical Education and Training:
- Mr Gregg Ian Shore graduated from medical school in 1989
NPI Data:
- NPI Number: 1235138983
- Provider Enumeration Date: 07/15/2005
- Last Update Date: 04/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 9537122205
- Enrollment ID: I20041104000772
Medical Identifiers
Medical identifiers for Mr Gregg Ian Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235138983 | NPI | - | NPPES |
| 3710089 | Medicaid | TN | |
| P00603445 | Other | FL | MEDICARE RAILROAD PROVIDER NUMBER |
| 279783600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208C00000X | Colon & Rectal Surgery | ME91364 (Florida) | Primary |
| 208600000X | Surgery | ME91364 (Florida) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 0436711 (Kansas) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Usa Vein Clinics Of Miami Llc | 9830404003 | 10 |
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. Mr Gregg Ian Shore allows following entities to bill medicare on his behalf.
| Entity Name | Usa Vein Clinics Of Miami Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396147138 PECOS PAC ID: 9830404003 Enrollment ID: O20150817002382 |
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| Entity Name | Usa Vascular Centers Of Miami Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861884595 PECOS PAC ID: 1557610862 Enrollment ID: O20180820003649 |
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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. Mr Gregg Ian Shore 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 |
Mr Gregg Ian Shore, MD 4759 Lakeview Dr, Ste 101, Sebring, FL 33870-2005 Ph: (863) 402-5600 | Mr Gregg Ian Shore, MD 4759 Lakeview Dr, Ste 101, Sebring, FL 33870-2005 Ph: (863) 402-5600 |
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