Scott David Shie, MD is a medicare enrolled "Urology" physician in Angola, Indiana. He went to University Of Cincinnati College Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Urology. He is a member of the group practice Cameron Memorial Community Hospital Inc, Ohiohealth Corporation and his current practice location is
306 E Maumee St Ste 303, Angola, Indiana. You can reach out to his office (for appointments etc.) via phone at
(606) 675-1482.
Scott David Shie is licensed to practice in Indiana (license number 01069915A) 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 1619167236.
Physician's Profile
| Full Name | Scott David Shie |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 19 Years |
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| Location | 306 E Maumee St Ste 303, Angola, Indiana |
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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:
- Scott David Shie attended and graduated from University Of Cincinnati College Of Medicine in 2006
NPI Data:
- NPI Number: 1619167236
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739357526
- Enrollment ID: I20110721000672
Medical Identifiers
Medical identifiers for Scott David Shie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619167236 | NPI | - | NPPES |
| 3160252 | Medicaid | OH | |
| 201021740 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 01069915A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cameron Memorial Community Hospital Inc | 9234020835 | 74 |
| Ohiohealth Corporation | 6305758426 | 2085 |
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. Scott David Shie allows following entities to bill medicare on his behalf.
| Entity Name | Cameron Memorial Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770521478
PECOS PAC ID: 9234020835
Enrollment ID: O20040323001008 |
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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. Scott David Shie 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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Scott David Shie, MD
416 E Maumee St,
Angola, IN 46703-2015
Ph: () - | Scott David Shie, MD
306 E Maumee St Ste 303,
Angola, IN 46703-2044
Ph: (606) 675-1482 |
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