Shea Orthopedic And Sports Medicine Pc - Medicare Primary Care in Folsom, CA

Shea Orthopedic And Sports Medicine Pc is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in Folsom, California. The current practice location for Shea Orthopedic And Sports Medicine Pc is 1580 Creekside Drive, Folsom, California. For appointments, you can reach them via phone at (916) 984-4500. The mailing address for Shea Orthopedic And Sports Medicine Pc is 1580 Creekside Drive, Folsom, California and phone number is (916) 984-4500.

Shea Orthopedic And Sports Medicine Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225762917. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (916) 984-4500.

Contact Information

Shea Orthopedic And Sports Medicine Pc
1580 Creekside Drive
Folsom
CA 95630
(916) 984-4500
(915) 984-4502

Primary Care Clinic Profile

Full NameShea Orthopedic And Sports Medicine Pc
SpecialityFamily Medicine
Location1580 Creekside Drive, Folsom, California
Authorized Official Name and PositionMichael A Shea (OWNER)
Authorized Official Contact9169844500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shea Orthopedic And Sports Medicine Pc
1580 Creekside Drive
Folsom
CA 95630

Ph: (916) 984-4500
Shea Orthopedic And Sports Medicine Pc
1580 Creekside Drive
Folsom
CA 95630

Ph: (916) 984-4500

NPI Details:

NPI Number1225762917
Provider Enumeration Date07/11/2022
Last Update Date07/13/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4082097654
Medicare Enrollment IDO20220815000626

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Medical Identifiers

Medical identifiers for Shea Orthopedic And Sports Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225762917NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Primary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Shea Orthopedic And Sports Medicine Pc acts as a billing entity for following providers:
Provider NameMichael A Shea
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194875807
PECOS PAC ID: 1456449370
Enrollment ID: I20071109000599

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