Mr Nicholas John Shea, MD, MS is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Stamford, Connecticut. He went to Columbia University College Of Physicians And Surgeons and graduated in 2016 and has 9 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice Stamford Health Medical Group Inc and his current practice location is
29 Hospital Plz Ste 501, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 276-4440.
Mr Nicholas John Shea is licensed to practice in Connecticut (license number 79300) 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 1790149086.
Physician's Profile
| Full Name | Mr Nicholas John Shea |
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| Gender | Male |
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| Speciality | Cardiac Surgery |
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| Experience | 9 Years |
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| Location | 29 Hospital Plz Ste 501, Stamford, Connecticut |
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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. |
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Medical Education and Training:
- Mr Nicholas John Shea attended and graduated from Columbia University College Of Physicians And Surgeons in 2016
NPI Data:
- NPI Number: 1790149086
- Provider Enumeration Date: 04/12/2016
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365789815
- Enrollment ID: I20250114003290
Medical Identifiers
Medical identifiers for Mr Nicholas John Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790149086 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 295509 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 295509 (New York) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 79300 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stamford Health Medical Group Inc | 6901099746 | 388 |
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 Nicholas John Shea allows following entities to bill medicare on his behalf.
| Entity Name | Stamford Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154633980
PECOS PAC ID: 6901099746
Enrollment ID: O20101025000743 |
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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 Nicholas John Shea 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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Mr Nicholas John Shea, MD, MS
29 Hospital Plz Ste 501,
Stamford, CT 06902-3602
Ph: (203) 276-4440 | Mr Nicholas John Shea, MD, MS
29 Hospital Plz Ste 501,
Stamford, CT 06902-3602
Ph: (203) 276-4440 |
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