Dr Michael Jay Scott Sheridan, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lafayette, IN

Dr Michael Jay Scott Sheridan, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Lafayette, Indiana. His current practice location is 1116 N 16th St Ste A, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 448-8000.

Dr Michael Jay Scott Sheridan is licensed to practice in Indiana (license number 01069765A) 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 1174519466.

Contact Information

Dr Michael Jay Scott Sheridan, MD
1116 N 16th St Ste A,
Lafayette, IN 47904
(765) 448-8000
(765) 448-8807



Physician's Profile

Full NameDr Michael Jay Scott Sheridan
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location1116 N 16th St Ste A, Lafayette, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174519466
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 08/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1951203835
  • Enrollment ID: I20090602000510

Medical Identifiers

Medical identifiers for Dr Michael Jay Scott Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174519466NPI-NPPES
78677OtherFLBCBS OF FL
841624482OtherFLTRICARE
000000851467OtherINANTHEM PROVIDER NUMBER
266749500MedicaidFL
201023730MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 79395 (Georgia)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) ME 87486 (Florida)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 01069765A (Indiana)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 Michael Jay Scott Sheridan allows following entities to bill medicare on his behalf.
Entity NameWest Florida Cardiology Network, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801198023
PECOS PAC ID: 8729260641
Enrollment ID: O20110314000311

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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 Michael Jay Scott Sheridan 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
Dr Michael Jay Scott Sheridan, MD
Po Box 5545,
Lafayette, IN 47903-5545

Ph: (765) 448-8000
Dr Michael Jay Scott Sheridan, MD
1116 N 16th St Ste A,
Lafayette, IN 47904

Ph: (765) 448-8000

News Archive

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Lafayette, IN

Dr. Hartmuth Bruno Bittner, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905
Phone: 765-775-2800    
Dr. Thomas X Aufiero, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1176 N. 16th Street, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8085
Dr. Kok H Lim, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905
Phone: 317-923-1787    Fax: 317-962-0853
Kenneth Samuel Stone, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 1116 N 16th St, Suite A, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8054
Dr. Douglas Charles Wallace, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 3900 St Francis Way, Ste 201, Lafayette, IN 47905
Phone: 765-446-7981    Fax: 765-446-7982

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