Shane Timothy Desimone, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greensburg, Kentucky. His current practice location is
202-206 Milby Street, Greensburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 932-4211.
Shane Timothy Desimone is licensed to practice in Kentucky (license number 43280) 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 1285736462.
Physician's Profile
| Full Name | Shane Timothy Desimone |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 202-206 Milby Street, Greensburg, Kentucky |
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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 Timothy Desimone attended and graduated from in
NPI Data:
- NPI Number: 1285736462
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 12/20/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shane Timothy Desimone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285736462 | NPI | - | NPPES |
| 7100126300 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | T2005018779 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 43280 (Kentucky) | 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 Timothy Desimone 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 Timothy Desimone, MD
Po Box 220,
Greensburg, KY 42743-0220
Ph: (270) 932-4211 | Shane Timothy Desimone, MD
202-206 Milby Street,
Greensburg, KY 42743
Ph: (270) 932-4211 |
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