Shane Charles Wilson, DO is a medicare enrolled "Internal Medicine" physician in Memphis, Missouri. 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.
Physician's Profile
| Full Name | Shane Charles Wilson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 450 E Sigler Ave, Memphis, Missouri |
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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:
- Shane Charles Wilson attended and graduated from in
NPI Data:
- NPI Number: 1477808467
- Provider Enumeration Date: 07/17/2012
- Last Update Date: 10/08/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shane Charles Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477808467 | NPI | - | NPPES |
| 1477808467 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 2014026613 (Missouri) | Primary |
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 Address | Practice 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 |
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