Dr Shane Allen Yates, MD | |
630 E River St, Elyria, OH 44035-5902 | |
(440) 323-8458 | |
(440) 323-7900 |
Full Name | Dr Shane Allen Yates |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 630 E River St, Elyria, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811933906 | NPI | - | NPPES |
2191042 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35070189 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
University Hospitals Of Cleveland | Cleveland, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elyria Anesthesia Incorporated | 7214902170 | 50 |
Entity Name | Elyria Anesthesia Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922463 PECOS PAC ID: 7214902170 Enrollment ID: O20040901001554 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane Allen Yates, MD 860 E Broad St, Suite I, Elyria, OH 44035-6542 Ph: (440) 323-8458 | Dr Shane Allen Yates, MD 630 E River St, Elyria, OH 44035-5902 Ph: (440) 323-8458 |
Dr. Kalva S. Reddy, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Dr. Matthew Robert Meinert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515 | |
Dr. Emad Atalla, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 Fax: 440-323-7900 | |
Ashley Marie Logan, APRN CNP CCRN Anesthesiology Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Maureen C Keshock, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 | |
Dr. Michael C Gardner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 860 E Broad St Ste 1, Elyria, OH 44035 Phone: 440-323-8515 | |
Dennis Cieply, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500 |