Shane Timothy Desimone, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Greensburg, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Casey County Hospital District, Jane Todd Crawford Memorial Hospital Inc. and 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 | Diagnostic Radiology |
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| Experience | 19 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 University Of Louisville School Of Medicine in 2005
NPI Data:
- NPI Number: 1285736462
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 12/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 7012032188
- Enrollment ID: I20100913000731
Medical Identifiers
Medical identifiers for Shane Timothy Desimone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Casey County Hospital District | 0749193423 | 9 |
| Jane Todd Crawford Memorial Hospital Inc. | 5092810994 | 7 |
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 Timothy Desimone allows following entities to bill medicare on his behalf.
| Entity Name | Casey County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407829567
PECOS PAC ID: 0749193423
Enrollment ID: O20031110000044 |
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| Entity Name | Jane Todd Crawford Memorial Hospital Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144296658
PECOS PAC ID: 5092810994
Enrollment ID: O20080613000060 |
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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 |
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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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