| Shawn Wayne Thomas, DO | |
|
300 Clyde Morris Blvd Ste C, Ormond Beach, FL 32174-5909 | |
| (386) 673-5100 | |
| (386) 673-6014 |
| Full Name | Shawn Wayne Thomas |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 23 Years |
| Location | 300 Clyde Morris Blvd Ste C, Ormond Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043416506 | NPI | - | NPPES |
| 3810024050 | Medicaid | WV | |
| 000282900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | OS10348 (Florida) | Primary |
| 208800000X | Urology | 0S013305 (Pennsylvania) | Secondary |
| 208800000X | Urology | 2603 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Florida Urology Center Pa | 8224927132 | 8 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
| Entity Name | Florida Urology Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336286251 PECOS PAC ID: 8224927132 Enrollment ID: O20040310001347 |
| Entity Name | Memorial Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922115914 PECOS PAC ID: 9739081142 Enrollment ID: O20040730000409 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Wayne Thomas, DO 300 Clyde Morris Blvd Ste C, Ormond Beach, FL 32174-5909 Ph: (386) 673-5100 | Shawn Wayne Thomas, DO 300 Clyde Morris Blvd Ste C, Ormond Beach, FL 32174-5909 Ph: (386) 673-5100 |
Jay Christian Guido, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 | |
Gregory Alan Parr, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 | |
Dr. Frank S Melograna, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd Ste C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 | |
Dane Kartsen Hermansen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 | |
Bert Maurice Morrow, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174 Phone: 386-673-5100 Fax: 386-673-6014 | |
Dr. John K. Burgers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 Clyde Morris Blvd Ste C, Ormond Beach, FL 32174 Phone: 386-673-5100 |