Dr Shane R Fancher, MD | |
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
(217) 464-2729 | |
(217) 464-1693 |
Full Name | Dr Shane R Fancher |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 32 Years |
Location | 1800 E Lake Shore Dr, Decatur, Illinois |
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 |
---|---|---|---|
1427055433 | NPI | - | NPPES |
336055454 | Other | IL | BCBS |
036094339 | Medicaid | IL |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Hospital | Decatur, IL | Hospital |
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Pain Consultants Of Central Illinois Llc | 7719071661 | 3 |
Entity Name | Sarah Bush Lincoln Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Entity Name | Kirby Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
Entity Name | Pain Consultants Of Central Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497959936 PECOS PAC ID: 7719071661 Enrollment ID: O20070927000008 |
Entity Name | Central Illinois Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20071211000663 |
Entity Name | Anesthesia Pain Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
Entity Name | Jacksonville Crnas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane R Fancher, MD 4160 S Lake Ct, Decatur, IL 62521-8440 Ph: (217) 425-9665 | Dr Shane R Fancher, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2729 |
Francesco Vetri, M.D. PH.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St Ste 213, Decatur, IL 62526 Phone: 217-876-6640 Fax: 217-876-6645 |