Shane E Holloway, MD | |
1000 S Coulter St Ste 200, Amarillo, TX 79106-1841 | |
(806) 212-6604 | |
(806) 212-0355 |
Full Name | Shane E Holloway |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 25 Years |
Location | 1000 S Coulter St Ste 200, Amarillo, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043319940 | NPI | - | NPPES |
195821702 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | L5771 (Texas) | Secondary |
2086X0206X | Surgery - Surgical Oncology | L5771 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist St Anthony's Hospital | Amarillo, TX | Hospital |
Quail Creek Surgical Hospital | Amarillo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bsa Physicians Group Inc | 3971748146 | 96 |
Entity Name | Bsa Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457696916 PECOS PAC ID: 3971748146 Enrollment ID: O20130319000147 |
Mailing Address | Practice Location Address |
---|---|
Shane E Holloway, MD Po Box 840026, Dallas, TX 75284-0026 Ph: (806) 212-6965 | Shane E Holloway, MD 1000 S Coulter St Ste 200, Amarillo, TX 79106-1841 Ph: (806) 212-6604 |
Dr. Richard M High, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7120 W 9th Ave, Amarillo, TX 79106 Phone: 806-467-1600 Fax: 806-467-1601 | |
Victor Vern Hands, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2001 Julian Blvd., Amarillo, TX 79102 Phone: 806-679-0708 Fax: 806-376-9961 | |
Erica Griffin Wheat, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 S Coulter St Ste 200, Amarillo, TX 79106 Phone: 806-212-6604 Fax: 806-212-0355 | |
John Mckinley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6 Medical Dr, Amarillo, TX 79106 Phone: 806-212-6604 Fax: 806-212-0355 | |
David G Mcneir, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 S Coulter St Ste 413, Amarillo, TX 79106 Phone: 806-677-7952 Fax: 806-353-6081 | |
Dr. Jose P Arias, MD Surgery Medicare: Medicare Enrolled Practice Location: 1911 Port Ln, Amarillo, TX 79106 Phone: 806-352-9586 Fax: 806-352-9587 |