Shane O'toole, MD - Medicare Anesthesiology in Pontiac, MI

Shane O'toole, MD is a medicare enrolled "Anesthesiology" physician in Pontiac, Michigan. His current practice location is 50 N Perry St, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 338-5392.

Shane O'toole is licensed to practice in Michigan (license number 4301504692) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114580099.

Contact Information

Shane O'toole, MD
50 N Perry St,
Pontiac, MI 48342-2217
(248) 338-5392
Not Available

Map and Direction




Physician's Profile

Full NameShane O'toole
GenderMale
SpecialityAnesthesiology
Location50 N Perry St, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114580099
  • Provider Enumeration Date: 04/17/2019
  • Last Update Date: 12/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153664552
  • Enrollment ID: I20230614004073

Medical Identifiers

Medical identifiers for Shane O'toole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114580099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 4301504692 (Michigan)Primary

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 O'toole allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Services Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497797153
PECOS PAC ID: 4385557602
Enrollment ID: O20031111000822

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 O'toole 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 O'toole, MD
50 N Perry St,
Pontiac, MI 48342-2217

Ph: (248) 338-5392
Shane O'toole, MD
50 N Perry St,
Pontiac, MI 48342-2217

Ph: (248) 338-5392

Reviews and Comments


Anesthesiology Doctors in Pontiac, MI

Dr. Krassimir Lalev Denchev, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 44405 Woodward Ave, Pontiac, MI 48341
Phone: 248-585-3023    
Ronald Schmier, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 461 W Huron St, Department Of Anesthesia, Pontiac, MI 48341
Phone: 248-857-7036    Fax: 248-857-6966
Dr. Jennifer L Henderson, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 44555 Woodward Ave, Suite 308, Pontiac, MI 48341
Phone: 248-858-2509    
Jennifer Robert Semaan, DO
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 50 N Perry, Pontiac, MI 48342
Phone: 248-338-5392    
Dr. Jeremy L. Kramer, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Perry St, Pontiac, MI 48342
Phone: 248-338-5000    
Ugne Cerna, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 44405 Woodward Ave # H-23, Pontiac, MI 48341
Phone: 248-858-3234    
Robin Delaney, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 461 W Huron St, Department Of Anesthesia, Pontiac, MI 48341
Phone: 248-857-7036    Fax: 248-857-6966

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.