Dr Shane Keith Anderson, DO is a medicare enrolled "Internal Medicine" physician in Malad City, Idaho. His current practice location is
220 Bannock St, Malad City, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 766-2600.
Dr Shane Keith Anderson is licensed to practice in Montana (license number 11818) 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 1841289659.
Physician's Profile
| Full Name | Dr Shane Keith Anderson |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 220 Bannock St, Malad City, Idaho |
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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 Keith Anderson attended and graduated from in
NPI Data:
- NPI Number: 1841289659
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 05/24/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shane Keith Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841289659 | NPI | - | NPPES |
| 000092769 | Other | MO | PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 2004001424 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 11818 (Montana) | 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 Keith Anderson 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 Keith Anderson, DO
Po Box 126,
Malad City, ID 83252-0126
Ph: (208) 766-2231 | Dr Shane Keith Anderson, DO
220 Bannock St,
Malad City, ID 83252-1256
Ph: (208) 766-2600 |
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