Shane Ruckel, - Medicare Cardiovascular Disease (cardiology) in Ogden, UT

Shane Ruckel, is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Ogden, Utah. He went to Ohio State University College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4403 Harrison Blvd Ste 3490, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 387-2650.

Shane Ruckel is licensed to practice in Utah (license number 10498620-1205) 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 1215391875.

Contact Information

Shane Ruckel,
4403 Harrison Blvd Ste 3490,
Ogden, UT 84403-3284
(801) 387-2650
Not Available

Map and Direction




Physician's Profile

Full NameShane Ruckel
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience8 Years
Location4403 Harrison Blvd Ste 3490, Ogden, Utah
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 Ruckel attended and graduated from Ohio State University College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1215391875
  • Provider Enumeration Date: 04/11/2016
  • Last Update Date: 11/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092071613
  • Enrollment ID: I20220822000931

Medical Identifiers

Medical identifiers for Shane Ruckel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215391875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 10498620-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mckay Dee HospitalOgden, UTHospital
Layton HospitalLayton, UTHospital
Bear River Valley HospitalTremonton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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 Ruckel allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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 Ruckel 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 Ruckel,
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Shane Ruckel,
4403 Harrison Blvd Ste 3490,
Ogden, UT 84403-3284

Ph: (801) 387-2650

Reviews and Comments


Internal Medicine Doctors in Ogden, UT

Mikhail Shipotko, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-2800    
Ewa Gniado,
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403
Phone: 801-387-7900    Fax: 801-387-7910
Jaclyn Nguyen,
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403
Phone: 801-387-7900    
Dr. Timothy Trask, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Harrison Blvd, Ogden, UT 84403
Phone: 801-387-3654    
Gregory T Almony, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405
Phone: 801-479-0194    Fax: 801-479-5642
Brian W Pugh, DO
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405
Phone: 801-475-5400    Fax: 801-475-8614
Dr. Jack D Wahlen, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403
Phone: 801-387-7900    Fax: 801-387-7910

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.