Shane Charles Wilson, DO - Medicare Internal Medicine in Memphis, MO

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Shane Charles Wilson, DO is a medicare enrolled "Internal Medicine" physician in Memphis, Missouri. He went to At Still University, Arizona School Of Dentistry & Oral Hlth and graduated in 2012 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Northeast Missouri Health Council Inc and his current practice location is 450 E Sigler Ave, Ste A, Memphis, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 465-2828.

Shane Charles Wilson is licensed to practice in Missouri (license number 2014026613) 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 1477808467.

Contact Information

Shane Charles Wilson, DO
450 E Sigler Ave, Ste A,
Memphis, MO 63555-1726
(660) 465-2828
(660) 465-2956

Map and Direction




Physician's Profile

Full NameShane Charles Wilson
GenderMale
SpecialityInternal Medicine
Experience12 Years
Location450 E Sigler Ave, Memphis, Missouri
Accepts Medicare AssignmentsYes. 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 Charles Wilson attended and graduated from At Still University, Arizona School Of Dentistry & Oral Hlth in 2012
  NPI Data:
  • NPI Number: 1477808467
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 10/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2466779244
  • Enrollment ID: I20150317001211

Medical Identifiers

Medical identifiers for Shane Charles Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477808467NPI-NPPES
1477808467MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2014026613 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scotland County HospitalMemphis, MOHospital
Blessing HospitalQuincy, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Missouri Health Council Inc165828080520

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 Charles Wilson allows following entities to bill medicare on his behalf.
Entity NameNortheast Missouri Health Council Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881730893
PECOS PAC ID: 1658280805
Enrollment ID: O20040107000173
Entity NameNortheast Missouri Health Council Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104829498
PECOS PAC ID: 1658280805
Enrollment ID: O20040112000061
Entity NameScotland County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205844982
PECOS PAC ID: 8224940366
Enrollment ID: O20040923000249
Entity NameScotland County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1083624647
PECOS PAC ID: 8224940366
Enrollment ID: O20140226001733

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 Charles Wilson 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 AddressPractice Location Address
Shane Charles Wilson, DO
450 E Sigler Ave, Ste A,
Memphis, MO 63555-1726

Ph: (660) 465-2828		Shane Charles Wilson, DO
450 E Sigler Ave, Ste A,
Memphis, MO 63555-1726

Ph: (660) 465-2828

Reviews and Comments


Internal Medicine Doctors in Memphis, MO

Dr. Robert Wayne Jackson, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Sigler Ave, Memphis, MO 63555
Phone: 660-465-2828    Fax: 660-465-2820

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.