Shane B Carson, DO in Spokane, WA

Shane B Carson, DO is a medicare enrolled "Pediatrics" physician in Spokane, Washington. His current practice location is 1919 S Grand Blvd, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 747-3081.

Shane B Carson is licensed to practice in Washington (license number OP00002101) 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 1710917299.

Contact Information

	Shane B Carson, DO
	1919 S Grand Blvd, Spokane, WA 99203-2347
	(509) 747-3081
	(509) 227-7070

Map and Direction

Physician's Profile

Full Name	Shane B Carson
Gender	Male
Speciality	Pediatrics
Location	1919 S Grand Blvd, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710917299
Provider Enumeration Date: 07/03/2006
Last Update Date: 05/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4183857428
Enrollment ID: I20140512001508

Medical Identifiers

Medical identifiers for Shane B Carson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710917299	NPI	-	NPPES
8454654	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OP00002101 (Washington)	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. Shane B Carson allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453

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. Shane B Carson 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
Shane B Carson, DO Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 747-3081	Shane B Carson, DO 1919 S Grand Blvd, Spokane, WA 99203-2347 Ph: (509) 747-3081

Reviews and Comments

Pediatrics Doctors in Spokane, WA

Robert E Piston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 Fax: 509-483-7631
Dr. Tanisha Kamille Morton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402
Carolanne Lyons, Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 S Grand Blvd, Spokane, WA 99203 Phone: 509-455-8220
Sarah E D'hulst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531
Dr. Joseph Paul Kincaid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 408 W 25th Ave, Spokane, WA 99203 Phone: 509-999-8237
Carrie Elizabeth Laborde, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave Fl 3, Spokane, WA 99204 Phone: 509-474-2777 Fax: 509-474-6222
Dr. David Ross Goshorn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Pshmc 3rd Flr, Spokane, WA 99204 Phone: 509-474-2277

Shane B Carson, DO - Medicare Pediatrics in Spokane, WA