Shawn Michael Deremer, MD is a medicare enrolled "Anesthesiology" physician in Milwaukie, Oregon. His current practice location is
10150 Se 32nd Ave, Milwaukie, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 513-8300.
Shawn Michael Deremer is licensed to practice in Oregon (license number MD22534) 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 1518994565.
Physician's Profile
| Full Name | Shawn Michael Deremer |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
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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: 1518994565
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921048521
- Enrollment ID: I20050503000915
Medical Identifiers
Medical identifiers for Shawn Michael Deremer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518994565 | NPI | - | NPPES |
| 288087 | Medicaid | OR | |
| P00256935 | Other | OR | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | MD22534 (Oregon) | Primary |
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. Shawn Michael Deremer allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates Northwest Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
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| Entity Name | Northwest Iv, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023596541 PECOS PAC ID: 7214277383 Enrollment ID: O20190327002802 |
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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. Shawn Michael Deremer 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 |
Shawn Michael Deremer, MD P.o. Box 2817, Portland, OR 97208 Ph: (954) 545-0337 | Shawn Michael Deremer, MD 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 513-8300 |
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