Dr Shane Jacob Kibbe, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bardstown, Kentucky. He went to University Of Toledo College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Pt Pros, Inc, Kentucky Orthopedic Rehabilitation Llc, Sn Kentuckiana Rehab Llc and his current practice location is
935 Chambers Blvd, Bardstown, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 834-5676.
Dr Shane Jacob Kibbe is licensed to practice in Kentucky (license number 50338) 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 1265708168.
Physician's Profile
| Full Name | Dr Shane Jacob Kibbe |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 12 Years |
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| Location | 935 Chambers Blvd, Bardstown, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shane Jacob Kibbe attended and graduated from University Of Toledo College Of Medicine in 2012
NPI Data:
- NPI Number: 1265708168
- Provider Enumeration Date: 03/26/2012
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527387059
- Enrollment ID: I20210415000508
Medical Identifiers
Medical identifiers for Dr Shane Jacob Kibbe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265708168 | NPI | - | NPPES |
| 01080524A | Other | IN | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0401X | Internal Medicine - Addiction Medicine | R2958 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | R2958 (Kentucky) | Secondary |
| 207X00000X | Orthopaedic Surgery | 50338 (Kentucky) | Primary |
Medical Facilities Affiliation
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 Jacob Kibbe allows following entities to bill medicare on his behalf.
| Entity Name | Spring View Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154739399
PECOS PAC ID: 3476557000
Enrollment ID: O20060913000014 |
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| Entity Name | Kibbe Orthopedics Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073252375
PECOS PAC ID: 3375925670
Enrollment ID: O20220803001831 |
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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 Jacob Kibbe 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 |
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Dr Shane Jacob Kibbe, MD
Po Box 33149,
Belfast, ME 04915-0609
Ph: (888) 488-8289 | Dr Shane Jacob Kibbe, MD
935 Chambers Blvd,
Bardstown, KY 40004
Ph: (502) 834-5676 |
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