Dr Shane Nicholas Weber, DO - Medicare Diagnostic Radiology in Salt Lake City, UT

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Dr Shane Nicholas Weber, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Salt Lake City, Utah. He went to Pacific Medical College and graduated in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Utah Imaging Associates Inc, Wasatch Vascular Center Llc, Tooele Valley Imaging Llc and his current practice location is 30 N 1900 E Rm 1a07, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-7553.

Dr Shane Nicholas Weber is licensed to practice in Utah (license number 11085898-1204) 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 1467865329.

Contact Information

Dr Shane Nicholas Weber, DO
30 N 1900 E Rm 1a07,
Salt Lake City, UT 84132-0002
(801) 581-7553
Not Available

Map and Direction




Physician's Profile

Full NameDr Shane Nicholas Weber
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location30 N 1900 E Rm 1a07, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. 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 Nicholas Weber attended and graduated from Pacific Medical College in 2014
  NPI Data:
  • NPI Number: 1467865329
  • Provider Enumeration Date: 06/09/2014
  • Last Update Date: 06/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7315276037
  • Enrollment ID: I20200617000705

Medical Identifiers

Medical identifiers for Dr Shane Nicholas Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467865329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101021222 (Michigan)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 11085898-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ogden Regional Medical CenterOgden, UTHospital
Lakeview HospitalBountiful, UTHospital
St Mark's HospitalSalt lake city, UTHospital
Lone Peak HospitalDraper, UTHospital
Brigham City Community HospitalBrigham city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Utah Imaging Associates Inc135539453742
Wasatch Vascular Center Llc19517269676
Tooele Valley Imaging Llc246662463022

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 Nicholas Weber allows following entities to bill medicare on his behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805
Entity NameUtah Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629076229
PECOS PAC ID: 1355394537
Enrollment ID: O20050228000845
Entity NameTooele Valley Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699004499
PECOS PAC ID: 2466624630
Enrollment ID: O20111012000146
Entity NameOquirrh Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568734143
PECOS PAC ID: 4082875448
Enrollment ID: O20120411000273
Entity NameWasatch Vascular Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558905398
PECOS PAC ID: 1951726967
Enrollment ID: O20200807002691
Entity NameGreen River Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508533878
PECOS PAC ID: 5294123063
Enrollment ID: O20211027002062

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 Nicholas Weber 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 AddressPractice Location Address
Dr Shane Nicholas Weber, DO
30 N 1900 E Rm 1a07,
Salt Lake City, UT 84132-0002

Ph: (801) 581-7553		Dr Shane Nicholas Weber, DO
30 N 1900 E Rm 1a07,
Salt Lake City, UT 84132-0002

Ph: (801) 581-7553

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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