Dr Shane Keith Anderson, DO is a medicare enrolled "Internal Medicine" physician in Malad City, Idaho. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Bmh Inc and 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 |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 22 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 At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2002
NPI Data:
- NPI Number: 1841289659
- Provider Enumeration Date: 10/14/2005
- Last Update Date: 05/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 3779532528
- Enrollment ID: I20110421000350
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 |
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| 207R00000X | Internal Medicine | 2004001424 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 11818 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bmh Inc | 8426149758 | 124 |
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 Keith Anderson allows following entities to bill medicare on his behalf.
| Entity Name | Bmh Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1982805271
PECOS PAC ID: 8426149758
Enrollment ID: O20070801000213 |
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| Entity Name | Bmh Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255539193
PECOS PAC ID: 8426149758
Enrollment ID: O20071018000897 |
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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 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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