DR. SHARON MARY HEARTFIELD MARCHAND M.D.
NPI 1760492078
Dermatology in Beaumont, TX
NPI Status: Active since August 09, 2006
Contact Information
350 PINE ST
SUITE 1438
BEAUMONT, TX
ZIP 77701
Phone: (409) 835-2737
Fax: (409) 835-7546
- Individual
- Female
- Dermatology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About SHARON MARCHAND
This page provides the complete NPI Profile along with additional information for Sharon Marchand, a provider established in Beaumont, Texas with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1760492078 assigned on August 2006. The practitioner's primary taxonomy code is 207N00000X with license number L8123 (TX). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1760492078
- Provider Name
- DR. SHARON MARY HEARTFIELD MARCHAND M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 PINE ST SUITE 1438 BEAUMONT, TX 77701
- Location Phone
- (409) 835-2737
- Location Fax
- (409) 835-7546
- Mailing Address
- 350 PINE ST SUITE 1438 BEAUMONT, TX 77701
- Mailing Phone
- (409) 835-2737
- Mailing Fax
- (409) 835-7546
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-09-2006
- Last Update Date
- 03-21-2017
- Code Navigator
A dermatologist like Sharon Marchand is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sharon Marchand opted out of Medicare effective on 10-01-2016 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L8123
- License State
- TX
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sharon Marchand is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2016
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 77701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.8
- Minimum New Patient Price $54.04
- Maximum New Patient Price $164.93
- Average New Patient Copayment $20.95
- Minimum New Patient Copayment $13.51
- Maximum New Patient Copayment $41.23
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.64
- Minimum Established Patient Price $17.17
- Maximum Established Patient Price $134.47
- Average Established Patient Copayment $16.91
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $33.61
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 9 | 2 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 9 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 9 + 4 + 0 + 1 + 4 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1760492078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DERMATOLOGY AND LASER MEDICINE OF SOUTHEAST TEXAS PLLC
Dermatology
350 PINE ST
SUITE 1438
BEAUMONT, TX
ZIP 77701
DR. LISA SUZANNE DURSO DNP, FNP
Nurse Practitioner
(Family)
350 PINE ST
BEAUMONT, TX
ZIP 77701
CHARLES JOHN GUTIERREZ M.D.
Surgery
350 PINE ST
SUITE 1415
BEAUMONT, TX
ZIP 77701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760492078, enumerated as an "individual" on August 09, 2006.
The provider is located at 350 PINE ST SUITE 1438 BEAUMONT, TX 77701 and the phone number is (409) 835-2737.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
