Dr Shane K Powell, MD in Roosevelt, UT

Dr Shane K Powell, MD is a medicare enrolled "Ophthalmology" physician in Roosevelt, Utah. He went to University Of Utah School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is 210 W 300 N 75-3, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-3971.

Dr Shane K Powell is licensed to practice in Utah (license number 3083961205) 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 1750342655.

Contact Information

	Dr Shane K Powell, MD
	210 W 300 N 75-3, Roosevelt, UT 84066
	(435) 722-3971
	(435) 722-6104

Map and Direction

Physician's Profile

Full Name	Dr Shane K Powell
Gender	Male
Speciality	Ophthalmology
Experience	30 Years
Location	210 W 300 N 75-3, Roosevelt, Utah
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 K Powell attended and graduated from University Of Utah School Of Medicine in 1994

NPI Data:

NPI Number: 1750342655
Provider Enumeration Date: 03/30/2006
Last Update Date: 06/20/2017

Medicare PECOS Information:

PECOS PAC ID: 9234267642
Enrollment ID: I20100505000810

Medical Identifiers

Medical identifiers for Dr Shane K Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750342655	NPI	-	NPPES
D3889	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	3083961205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uintah Basin Medical Center	Roosevelt, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uintah Basin Medical Center	0244131944	56
Northeastern Utah Medical Group	2961496609	42

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 K Powell allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Northeastern Utah Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471

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 K Powell 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 K Powell, MD 210 W 300 N 75-3, Roosevelt, UT 84066 Ph: (435) 722-3971	Dr Shane K Powell, MD 210 W 300 N 75-3, Roosevelt, UT 84066 Ph: (435) 722-3971

Dr Shane K Powell, MD - Medicare Ophthalmology in Roosevelt, UT