Shane Douglas Martin, DO in Midland, MI - Medicare General Surgery

Shane Douglas Martin, DO is a medicare enrolled "Surgery" physician in Midland, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mymichigan Medical Center Midland and his current practice location is 4201 Campus Ridge Drive, Midland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 839-1795.

Shane Douglas Martin is licensed to practice in Michigan (license number 5101018126) 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 1386872588.

Contact Information

	Shane Douglas Martin, DO
	4201 Campus Ridge Drive, Midland, MI 48640
	(989) 839-1795
	(989) 839-1785

Map and Direction

Physician's Profile

Full Name	Shane Douglas Martin
Gender	Male
Speciality	General Surgery
Experience	16 Years
Location	4201 Campus Ridge Drive, Midland, Michigan
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:

Shane Douglas Martin attended and graduated from Michigan State University College Of Osteopathic Medicine in 2009

NPI Data:

NPI Number: 1386872588
Provider Enumeration Date: 06/25/2009
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 6507001906
Enrollment ID: I20130405000075

Medical Identifiers

Medical identifiers for Shane Douglas Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386872588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	5101018126 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Midmichigan Medical Center-midland	Midland, MI	Hospital
Midmichigan Medical Center-gladwin	Gladwin, MI	Hospital
Midmichigan Medical Center-clare	Clare, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mymichigan Medical Center Midland	2264323633	414

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. Shane Douglas Martin allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Midland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137

Entity Name	Mymichigan Medical Center West Branch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424

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. Shane Douglas Martin 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
Shane Douglas Martin, DO 4201 Campus Ridge Drive, Midland, MI 48640 Ph: (989) 839-1795	Shane Douglas Martin, DO 4201 Campus Ridge Drive, Midland, MI 48640 Ph: (989) 839-1795

Reviews and Comments

Surgery Doctors in Midland, MI

Dr. Mark Douglas Horness, MD Surgery Medicare: Medicare Enrolled Practice Location: 4011 Orchard Dr, Suite 2000, Midland, MI 48640 Phone: 989-631-1221 Fax: 989-631-6686
Enrique Criado-pallares, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-794-5240 Fax: 989-488-5886
Melwyn J Sequeira, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge, Midland, MI 48640 Phone: 989-839-1795 Fax: 989-839-1785
Dr. Peter Bistolarides, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640 Phone: 989-839-1795 Fax: 989-839-1785
Dr. Kelly Wirsing, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4320 Campus Ridge Drive, Midland, MI 48640 Phone: 989-837-9071 Fax: 989-837-9065
Jacob Frisbie, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2660 W Sugnet, Midland, MI 48670 Phone: 989-839-0900

Shane Douglas Martin, DO - Medicare General Surgery in Midland, MI