Mr Shane A Maxwell, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Meridian, Idaho. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Idaho Physical Medicine And Rehabilitation Pa and his current practice location is
3551 E Overland Rd, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 884-1333.
Mr Shane A Maxwell is licensed to practice in Idaho (license number O0385) 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 1508825456.
Physician's Profile
| Full Name | Mr Shane A Maxwell |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 23 Years |
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| Location | 3551 E Overland Rd, Meridian, 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:
- Mr Shane A Maxwell attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2001
NPI Data:
- NPI Number: 1508825456
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092779231
- Enrollment ID: I20060703000093
Medical Identifiers
Medical identifiers for Mr Shane A Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508825456 | NPI | - | NPPES |
| 807415700 | Medicaid | ID | |
| 1508825456 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | O0385 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Idaho Physical Medicine And Rehabilitation Pa | 3971579954 | 8 |
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. Mr Shane A Maxwell allows following entities to bill medicare on his behalf.
| Entity Name | Idaho Physical Medicine And Rehabilitation Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497711329
PECOS PAC ID: 3971579954
Enrollment ID: O20040909001424 |
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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. Mr Shane A Maxwell 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 |
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Mr Shane A Maxwell, DO
Po Box 1128,
Boise, ID 83701-1128
Ph: (208) 381-2222 | Mr Shane A Maxwell, DO
3551 E Overland Rd,
Meridian, ID 83642-6757
Ph: (208) 884-1333 |
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