Dr Shine John, DPM - Medicare Podiatrist in Austin, TX

Dr Shine John, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Austin, Texas. He went to New York College Of Podiatric Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Privia Medical Group Gulf Coast Pllc and his current practice location is 11614 Fm 2244 Rd Ste 150, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 399-5711.

Dr Shine John is licensed to practice in Texas (license number 1910) 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 1245407295.

Contact Information

Dr Shine John, DPM
11614 Fm 2244 Rd Ste 150,
Austin, TX 78738-5471
(512) 399-5711
(512) 399-5707



Healthcare Provider's Profile

Full NameDr Shine John
GenderMale
SpecialityPodiatry
Experience19 Years
Location11614 Fm 2244 Rd Ste 150, Austin, Texas
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:
  • Dr Shine John attended and graduated from New York College Of Podiatric Medicine in 2005
  NPI Data:
  • NPI Number: 1245407295
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294809133
  • Enrollment ID: I20090924000051

Medical Identifiers

Medical identifiers for Dr Shine John such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245407295NPI-NPPES
016005365OtherILIL STATE LICENSE
1910OtherTXSTATE OF TEXAS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 016005365 (Illinois)Secondary
213E00000XPodiatrist 1910 (Texas)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 1910 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Privia Medical Group Gulf Coast Pllc4688999022397

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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. Dr Shine John allows following entities to bill medicare on his behalf.
Provider NameCapital Foot & Ankle Surgeons Of Austin, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003147356
PECOS PAC ID: 4082740477
Enrollment ID: O20100324000763

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Provider NamePrivia Medical Group Gulf Coast Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578969465
PECOS PAC ID: 4688999022
Enrollment ID: O20150206000763

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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 Shine John 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 Shine John, DPM
11614 Fm 2244 Rd Ste 150,
Austin, TX 78738-5471

Ph: (512) 399-5711
Dr Shine John, DPM
11614 Fm 2244 Rd Ste 150,
Austin, TX 78738-5471

Ph: (512) 399-5711

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Podiatrist in Austin, TX

Capital Foot & Ankle Surgeons Of Austin, Pllc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 900 E 30th St, 311, Austin, TX 78705
Phone: 512-474-6666    Fax: 512-474-6668
Mr. Joseph Harold Snowden, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 911 W 38th St Ste 300, Austin, TX 78705
Phone: 512-439-1000    
Vikas A Godhania, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731
Phone: 512-346-8888    Fax: 512-344-0365
J Michael Valenza, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 5656 Bee Cave Rd, Ste D204, Austin, TX 78746
Phone: 512-327-9251    Fax: 512-327-9742
Angela L Drury Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2312 Western Trails, Suite 103, Austin, TX 78745
Phone: 512-382-0773    Fax: 512-382-0072
Dr. Anne Compeau Ames, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 W 38th St, Suite 707, Austin, TX 78705
Phone: 512-407-8188    Fax: 512-459-1190
Angela L Drury, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2312 Western Trails Blvd, Suite 103, Austin, TX 78745
Phone: 512-382-0773    Fax: 512-382-0772

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