Dr Shane Rainey, DO in Peoria, IL

Dr Shane Rainey, DO is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2274.

Dr Shane Rainey is licensed to practice in Illinois (license number 036.144466) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588041164.

Contact Information

	Dr Shane Rainey, DO
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-2274
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane Rainey
Gender	Male
Speciality	Pediatrics
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588041164
Provider Enumeration Date: 05/02/2015
Last Update Date: 01/07/2019

Medicare PECOS Information:

PECOS PAC ID: 4688989304
Enrollment ID: I20180215002267

Medical Identifiers

Medical identifiers for Dr Shane Rainey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588041164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036.144466 (Illinois)	Primary

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 Rainey allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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 Rainey 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 Rainey, DO 4005 W Carrousel Ln, Peoria, IL 61615-2860 Ph: (630) 882-5719	Dr Shane Rainey, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2274

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Khalid Al Katranji, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7171
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615

Dr Shane Rainey, DO - Medicare Pediatrics in Peoria, IL