David George Short, DO - Medicare Otolaryngology in Logansport, IN

David George Short, DO is a medicare enrolled "Otolaryngology" physician in Logansport, Indiana. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Memorial Hospital and his current practice location is 1025 Michigan Avenue, Suite 215, Logansport, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 753-2222.

David George Short is licensed to practice in Indiana (license number 02001212A) 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 1134184153.

Contact Information

David George Short, DO
1025 Michigan Avenue, Suite 215,
Logansport, IN 46947-1594
(574) 753-2222
(574) 753-0522



Physician's Profile

Full NameDavid George Short
GenderMale
SpecialityOtolaryngology
Experience38 Years
Location1025 Michigan Avenue, Logansport, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David George Short graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1134184153
  • Provider Enumeration Date: 04/20/2006
  • Last Update Date: 12/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9234117201
  • Enrollment ID: I20081230000597

Medical Identifiers

Medical identifiers for David George Short such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134184153NPI-NPPES
265973OtherINHARMONY
000000090844OtherINANTHEM
000000596741OtherINANTHEM (LMH)
5231880002OtherINCIGNA
1019948OtherINTRICARE
0004358987OtherINAETNA
100071010MedicaidIN
356001853017OtherINTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207KA0200XAllergy & Immunology - Allergy 02001212A (Indiana)Secondary
207Y00000XOtolaryngology 02001212A (Indiana)Primary
207YX0905XOtolaryngology - Otolaryngology/facial Plastic Surgery 02001212A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalLogansport, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital812392328173

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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. David George Short allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942317656
PECOS PAC ID: 8123923281
Enrollment ID: O20031206000001

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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. David George Short 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 AddressPractice Location Address
David George Short, DO
1025 Michigan Avenue, Suite 215,
Logansport, IN 46947-1594

Ph: (574) 753-2222
David George Short, DO
1025 Michigan Avenue, Suite 215,
Logansport, IN 46947-1594

Ph: (574) 753-2222

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Otolaryngology Doctors in Logansport, IN


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