Dr Shane Michael Hodge, DO | |
102 Professional Park Ste C, Oxford, NC 27565-2554 | |
(919) 603-0368 | |
(919) 690-0842 |
Full Name | Dr Shane Michael Hodge |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | 102 Professional Park Ste C, Oxford, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548498975 | NPI | - | NPPES |
NC2803A | Other | NC | MEDICARE PTAN, INDIVIDUAL |
5918846 | Medicaid | NC | |
2335816 | Other | NC | MEDICARE PTAN, GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2011-00897 (North Carolina) | Primary |
208600000X | Surgery | 5101016839 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Granville Health Systems | Oxford, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granville Health Inc | 0840341822 | 9 |
Entity Name | Wilkes Physician Network, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245496413 PECOS PAC ID: 0648348177 Enrollment ID: O20081009000821 |
Entity Name | Granville Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336380708 PECOS PAC ID: 0840341822 Enrollment ID: O20090702000411 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane Michael Hodge, DO Po Box 986, Oxford, NC 27565-0986 Ph: (919) 690-3487 | Dr Shane Michael Hodge, DO 102 Professional Park Ste C, Oxford, NC 27565-2554 Ph: (919) 603-0368 |
Dr. Shanna R Sprinkle, MD, MPH Surgery Medicare: Medicare Enrolled Practice Location: 101 Professional Park Ste B, Oxford, NC 27565 Phone: 919-603-0368 Fax: 919-690-0842 | |
Dr. Naveen Kumar, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Professional Park Ste C, Oxford, NC 27565 Phone: 919-603-0368 Fax: 919-690-0842 |