Sean M Mahan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oviedo, Florida. His current practice location is
2572 W State Road 426, Suite 2032, Oviedo, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 699-1100.
Sean M Mahan is licensed to practice in Virginia (license number 0101228974) 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 1063445963.
Physician's Profile
| Full Name | Sean M Mahan |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 2572 W State Road 426, Oviedo, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063445963
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 12/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 4880669316
- Enrollment ID: I20040830000110
Medical Identifiers
Medical identifiers for Sean M Mahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063445963 | NPI | - | NPPES |
| 010217849 | Medicaid | VA | |
| 266823800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101228974 (Virginia) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME70745 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD21287 (District Of Columbia) | Secondary |
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. Sean M Mahan 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 |
Sean M Mahan, MD 2572 W State Road 426, Suite 2032, Oviedo, FL 32765-8389 Ph: (407) 699-1100 | Sean M Mahan, MD 2572 W State Road 426, Suite 2032, Oviedo, FL 32765-8389 Ph: (407) 699-1100 |
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