Shane Carlson Dangerfield, MD in Salt Lake City, UT

Shane Carlson Dangerfield, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine" physician in Salt Lake City, Utah. He went to Wayne State University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice University Of Utah Pediatric Services, Scl Health Medical Group - Billings Llc and his current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-2205.

Shane Carlson Dangerfield is licensed to practice in Utah (license number 9003692-1205) 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 1457685919.

Contact Information

	Shane Carlson Dangerfield, MD
	50 N Medical Dr, Salt Lake City, UT 84132
	(801) 581-2205
	Not Available

Map and Direction

Physician's Profile

Full Name	Shane Carlson Dangerfield
Gender	Male
Speciality	Pediatric Medicine
Experience	15 Years
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shane Carlson Dangerfield attended and graduated from Wayne State University School Of Medicine in 2009

NPI Data:

NPI Number: 1457685919
Provider Enumeration Date: 09/30/2009
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2466612486
Enrollment ID: I20140731002085

Medical Identifiers

Medical identifiers for Shane Carlson Dangerfield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457685919	NPI	-	NPPES
1457685919	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	9003692-1205 (Utah)	Secondary
2081P0010X	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine	4301094767 (Michigan)	Secondary
2081P0010X	Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine	9003692-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Pediatric Services	0547552473	70
Scl Health Medical Group - Billings Llc	9638491574	228

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 Carlson Dangerfield allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Carlson Dangerfield 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 Carlson Dangerfield, MD Po Box 413021, Salt Lake City, UT 84141-3021 Ph: (801) 213-3900	Shane Carlson Dangerfield, MD 50 N Medical Dr, Salt Lake City, UT 84132 Ph: (801) 581-2205

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Salt Lake City, UT

James Tran, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: Rehab 85 N Medical Drive Rm 2122, Salt Lake City, UT 84132 Phone: 801-585-2589
Dr. Chase K Hansen, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1121 E Brickyard Rd Apt 1803, Salt Lake City, UT 84106 Phone: 801-309-0848
Michael Tobler, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6360 S 3000 E Ste 300, Salt Lake City, UT 84121 Phone: 385-900-5094
Dr. Jeffrey G Randle, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1160 E 3900 S, #5000, Salt Lake City, UT 84124 Phone: 801-262-8486 Fax: 801-284-8699
Dr. Michael Matthew Green, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 81 N Mario Capecchi Dr, Department Of Pediatrics, Salt Lake City, UT 84113 Phone: 801-213-7737 Fax: 801-587-7539
Ms. Allison Oki, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Univerisity Of Utah, Department Of Pm&r, Salt Lake City, UT 84132 Phone: 801-585-2589 Fax: 801-587-7287
Bradeigh Smithson Godfrey, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 258 Heritage Ctr, Salt Lake City, UT 84112 Phone: 801-587-1290

Shane Carlson Dangerfield, MD - Medicare Pediatric Medicine in Salt Lake City, UT