Dr Shane Daryl Gober, DO in Clinton Township, MI

Dr Shane Daryl Gober, DO is a medicare enrolled "Emergency Medicine" physician in Clinton Township, Michigan. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Phoenix Emergency Medicine Of Broward Llc, Jefferson Emergency Physicians Pllc and his current practice location is 15855 19 Mile Rd, Clinton Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 263-2300.

Dr Shane Daryl Gober is licensed to practice in Michigan (license number 5101017125) 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 1770781635.

Contact Information

	Dr Shane Daryl Gober, DO
	15855 19 Mile Rd, Clinton Township, MI 48038-3504
	(586) 263-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane Daryl Gober
Gender	Male
Speciality	Emergency Medicine
Experience	20 Years
Location	15855 19 Mile Rd, Clinton Township, Michigan
Accepts Medicare Assignments	Yes. 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 Shane Daryl Gober graduated from medical school in 2004

NPI Data:

NPI Number: 1770781635
Provider Enumeration Date: 07/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678601739
Enrollment ID: I20100511000320

Medical Identifiers

Medical identifiers for Dr Shane Daryl Gober such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770781635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101017125 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Broward Health Imperial Point	Fort lauderdale, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenix Emergency Medicine Of Broward Llc	5991793002	63
Jefferson Emergency Physicians Pllc	4880048560	54

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 Shane Daryl Gober allows following entities to bill medicare on his behalf.

Entity Name	Phoenix Emergency Medicine Of Broward Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871542969 PECOS PAC ID: 5991793002 Enrollment ID: O20040505001132

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 Daryl Gober 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 Daryl Gober, DO 15456 Claremont Dr N, Clinton Township, MI 48038-3562 Ph: (586) 412-1314	Dr Shane Daryl Gober, DO 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300

Reviews and Comments

Emergency Medicine Doctors in Clinton Township, MI

Dr. Steven Denhof, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300
Dr. James Lee, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950
Nicole Adams, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300
Dr. Jennifer Serene Wong, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2953
Dr. Ernesto M Juarez Jr., D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2950 Fax: 586-263-2975
Dr. Costandinos Tsagaratos, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589
Dr. Emre Conklu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Office Of Medical Education, Clinton Township, MI 48038 Phone: 586-263-2300

Dr Shane Daryl Gober, DO - Medicare Emergency Medicine in Clinton Township, MI