Leonid Mironovich Shamban, DO - Medicare Gastroenterology in Saint Clair Shores, MI

Leonid Mironovich Shamban, DO is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Saint Clair Shores, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Gi Medical Assoc Pc and his current practice location is 28963 Little Mack Ave Ste 101, Saint Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 447-0700.

Leonid Mironovich Shamban is licensed to practice in Michigan (license number 5101019763) 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 1225398431.

Contact Information

Leonid Mironovich Shamban, DO
28963 Little Mack Ave Ste 101,
Saint Clair Shores, MI 48081
(586) 447-0700
(586) 498-0707



Physician's Profile

Full NameLeonid Mironovich Shamban
GenderMale
SpecialityGastroenterology
Experience12 Years
Location28963 Little Mack Ave Ste 101, Saint Clair Shores, Michigan
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:
  • Leonid Mironovich Shamban attended and graduated from Michigan State University College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1225398431
  • Provider Enumeration Date: 05/22/2012
  • Last Update Date: 05/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416258975
  • Enrollment ID: I20160708002060

Medical Identifiers

Medical identifiers for Leonid Mironovich Shamban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225398431NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 5101019763 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St John HospitalDetroit, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gi Medical Assoc Pc337552521513

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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. Leonid Mironovich Shamban allows following entities to bill medicare on his behalf.
Entity NameGi Medical Assoc Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154311405
PECOS PAC ID: 3375525215
Enrollment ID: O20040603001029

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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. Leonid Mironovich Shamban 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
Leonid Mironovich Shamban, DO
28963 Little Mack Ave Ste 101,
Saint Clair Shores, MI 48081-3017

Ph: (586) 447-0228
Leonid Mironovich Shamban, DO
28963 Little Mack Ave Ste 101,
Saint Clair Shores, MI 48081

Ph: (586) 447-0700

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Internal Medicine Doctors in Saint Clair Shores, MI

Jahnavi Chakrala, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 20229 E 9 Mile Rd Ste 200, Saint Clair Shores, MI 48080
Phone: 586-267-0200    Fax: 313-343-4412
Kimberley Demerle, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 21000 E 12 Mile Rd Ste 112, Saint Clair Shores, MI 48081
Phone: 586-772-5550    Fax: 586-772-2470
Maridel Aileen Hernandez, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 19603 E 8 Mile Rd, Saint Clair Shores, MI 48080
Phone: 586-445-7900    Fax: 586-445-7940
Daniel Shelden, DO
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080
Phone: 586-447-8021    Fax: 586-447-8022
Dr. Demetrios Mermiges, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 19611 E 8 Mile Rd, Saint Clair Shores, MI 48080
Phone: 586-772-6850    Fax: 586-772-3810
Zaid Kasmikha, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 24211 Little Mack Ave, Saint Clair Shores, MI 48080
Phone: 586-498-0440    Fax: 586-498-0429
Dr. Marybeth Hardwicke, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 23411 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080
Phone: 586-778-4080    Fax: 586-778-6055

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