Shane Keith Backus, MD | |
838 Market Street, Zanesville, OH 43701 | |
(740) 452-9319 | |
(740) 452-2427 |
Full Name | Shane Keith Backus |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 838 Market Street, Zanesville, Ohio |
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 |
---|---|---|---|
1184697484 | NPI | - | NPPES |
2409870 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35082724 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeastern Ohio Regional Medical Center | Cambridge, OH | Hospital |
Coshocton Regional Medical Center | Coshocton, OH | Hospital |
Riverside Methodist Hospital | Columbus, OH | Hospital |
St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 391 |
Columbus Radiology Corp | 6507754983 | 275 |
Entity Name | Radiology Associates Of Canton, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20031105000231 |
Entity Name | Orrville Hospital Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891718375 PECOS PAC ID: 7911890546 Enrollment ID: O20040206000004 |
Entity Name | Columbus Radiology Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Entity Name | Radiology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982671889 PECOS PAC ID: 0446210520 Enrollment ID: O20041013000606 |
Entity Name | Genesis Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063663433 PECOS PAC ID: 7719040385 Enrollment ID: O20090107000547 |
Entity Name | Mercy Health Physicians Youngstown, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
Entity Name | Imaging Associates Of Indiana Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20170922002737 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Entity Name | Bsmh Cincinnati Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225797426 PECOS PAC ID: 1850774167 Enrollment ID: O20220819000827 |
Mailing Address | Practice Location Address |
---|---|
Shane Keith Backus, MD 13333 Northwest Fwy, Ste 540, Houston, TX 77040-6166 Ph: (740) 452-9319 | Shane Keith Backus, MD 838 Market Street, Zanesville, OH 43701 Ph: (740) 452-9319 |
William Robert Christopher Wallis, OD Radiology Medicare: Medicare Enrolled Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Coleene Gweneth Cooke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Jack Greenspan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 | |
Dr. Zehra Salim Kaka, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 Forest Ave, Zanesville, OH 43701 Phone: 740-454-5014 Fax: 740-455-7517 | |
Shalini Garg Gupta, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5271 Fax: 740-455-7588 | |
Richard L Mellon, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 838 Market St, Zanesville, OH 43701 Phone: 740-452-9319 Fax: 740-452-2427 |