Dr Shane Alan Gofourth, DC is a medicare enrolled "Chiropractor" provider in Veneta, Oregon. His current practice location is
88124 Territorial Rd., Veneta, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 935-2242.
Dr Shane Alan Gofourth is licensed to practice in Oregon (license number 27 3292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861427627.
Healthcare Provider's Profile
Full Name | Dr Shane Alan Gofourth |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 88124 Territorial Rd., Veneta, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861427627
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 06/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183645096
- Enrollment ID: I20051207000559
Medical Identifiers
Medical identifiers for Dr Shane Alan Gofourth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861427627 | NPI | - | NPPES |
228849 | Other | OR | OMAP |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 27 3292 (Oregon) | Primary |
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 Shane Alan Gofourth 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 Address | Practice Location Address |
Dr Shane Alan Gofourth, DC Po Box 1108, Veneta, OR 97487-1108 Ph: (541) 935-2242 | Dr Shane Alan Gofourth, DC 88124 Territorial Rd., Veneta, OR 97487 Ph: (541) 935-2242 |
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