Dr Shawn Todd Van Enoo, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Cerritos, California. He went to New York Medical College and graduated in 1999 and has 27 years of diverse experience with area of expertise as Podiatry. His current practice location is
11911 Artesia Blvd 103, Cerritos, California. You can reach out to his office (for appointments etc.) via phone at
(562) 402-2489.
Dr Shawn Todd Van Enoo is licensed to practice in California (license number E4322) 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 1073540688.
Healthcare Provider's Profile
| Full Name | Dr Shawn Todd Van Enoo |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 27 Years |
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| Location | 11911 Artesia Blvd 103, Cerritos, California |
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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:
- Dr Shawn Todd Van Enoo attended and graduated from New York Medical College in 1999
NPI Data:
- NPI Number: 1073540688
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 07/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 2668517699
- Enrollment ID: I20100302000761
Medical Identifiers
Medical identifiers for Dr Shawn Todd Van Enoo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073540688 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4322 (California) | 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. Dr Shawn Todd Van Enoo allows following entities to bill medicare on his behalf.
| Provider Name | Shawn T. Van Enoo, D.p.m. A Professional Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740512235
PECOS PAC ID: 8527182989
Enrollment ID: O20100908000236 |
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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. Dr Shawn Todd Van Enoo 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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Dr Shawn Todd Van Enoo, DPM
Po Box 111,
Artesia, CA 90702-0011
Ph: (562) 402-2489 | Dr Shawn Todd Van Enoo, DPM
11911 Artesia Blvd 103,
Cerritos, CA 90701-4070
Ph: (562) 402-2489 |
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