Shane Douglas Martin, DO - Medicare General Surgery in Midland, MI

Shane Douglas Martin, DO is a medicare enrolled "Surgery" physician in Midland, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Mymichigan Medical Center Midland and his current practice location is 4201 Campus Ridge Drive, Midland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 839-1795.

Shane Douglas Martin is licensed to practice in Michigan (license number 5101018126) 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 1386872588.

Contact Information

Shane Douglas Martin, DO
4201 Campus Ridge Drive,
Midland, MI 48640
(989) 839-1795
(989) 839-1785



Physician's Profile

Full NameShane Douglas Martin
GenderMale
SpecialityGeneral Surgery
Experience15 Years
Location4201 Campus Ridge Drive, Midland, 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:
  • Shane Douglas Martin attended and graduated from Michigan State University College Of Osteopathic Medicine in 2009
  NPI Data:
  • NPI Number: 1386872588
  • Provider Enumeration Date: 06/25/2009
  • Last Update Date: 11/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6507001906
  • Enrollment ID: I20130405000075

Medical Identifiers

Medical identifiers for Shane Douglas Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386872588NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101018126 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midmichigan Medical Center-midlandMidland, MIHospital
Midmichigan Medical Center-gladwinGladwin, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mymichigan Medical Center Midland2264323633338

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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. Shane Douglas Martin allows following entities to bill medicare on his behalf.
Entity NameMymichigan Medical Center Midland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205889490
PECOS PAC ID: 2264323633
Enrollment ID: O20040324000137

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Entity NameMymichigan Medical Center West Branch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538566765
PECOS PAC ID: 7214251081
Enrollment ID: O20160714002424

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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. Shane Douglas Martin 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
Shane Douglas Martin, DO
4201 Campus Ridge Drive,
Midland, MI 48640

Ph: (989) 839-1795
Shane Douglas Martin, DO
4201 Campus Ridge Drive,
Midland, MI 48640

Ph: (989) 839-1795

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Surgery Doctors in Midland, MI

Dr. Mark Douglas Horness, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4011 Orchard Dr, Suite 2000, Midland, MI 48640
Phone: 989-631-1221    Fax: 989-631-6686
Enrique Criado-pallares, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640
Phone: 989-794-5240    Fax: 989-488-5886
Melwyn J Sequeira, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4201 Campus Ridge, Midland, MI 48640
Phone: 989-839-1795    Fax: 989-839-1785
Dr. Peter Bistolarides, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4201 Campus Ridge Drive, Midland, MI 48640
Phone: 989-839-1795    Fax: 989-839-1785
Dr. Kelly Wirsing, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4320 Campus Ridge Drive, Midland, MI 48640
Phone: 989-837-9071    Fax: 989-837-9065
Mr. Jonathan Kerry Murdock, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2125 Ridgewood Dr, Midland, MI 48642
Phone: 989-254-6427    

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