Shane W Coughlin, MD in Memphis, TN - Medicare Emergency Medicine

Shane W Coughlin, MD is a medicare enrolled "Emergency Medicine" physician in Memphis, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc, Southeastern Emergency Physicians Llc, Southeastern Emergency Physicians Llc and his current practice location is 1407 Union Ave, Suite 200, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 866-8813.

Shane W Coughlin is licensed to practice in Pennsylvania (license number MT213433) 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 1336441419.

Contact Information

	Shane W Coughlin, MD
	1407 Union Ave, Suite 200, Memphis, TN 38104-3600
	(901) 866-8813
	(901) 302-2120

Map and Direction

Physician's Profile

Full Name	Shane W Coughlin
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	1407 Union Ave, Memphis, Tennessee
Accepts Medicare Assignments	Yes. 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 W Coughlin attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2017

NPI Data:

NPI Number: 1336441419
Provider Enumeration Date: 11/23/2010
Last Update Date: 07/15/2020

Medicare PECOS Information:

PECOS PAC ID: 2860673704
Enrollment ID: I20200702000572

Medical Identifiers

Medical identifiers for Shane W Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336441419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MT213433 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital	Memphis, TN	Hospital
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	516
Southeastern Emergency Physicians Llc	2466364997	516
Southeastern Emergency Physicians Llc	2466364997	516

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 W Coughlin allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866

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 W Coughlin 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 W Coughlin, MD 1407 Union Ave, Suite 640, Memphis, TN 38104-3666 Ph: (901) 866-8360	Shane W Coughlin, MD 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 Ph: (901) 866-8813

Reviews and Comments

Emergency Medicine Doctors in Memphis, TN

Dr. Lori Rae Holtzman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2565 Horizon Lake Dr Ste 114, Memphis, TN 38133 Phone: 901-350-2639 Fax: 901-249-4563
Dr. Michael Jerome Washington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400
Dr. Anthony C Moretta, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 505 Tennessee St Apt 304, Memphis, TN 38103 Phone: 901-626-9560
Dr. Claude F Varner Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400
Dr. Clyde M Brown, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3960 New Covington Pike, Memphis, TN 38128 Phone: 901-516-5211
Jason Taylor Silberman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-226-3010 Fax: 901-226-1216
Lesa Jordan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 710 N Main St, Memphis, TN 38107 Phone: 901-626-2266

Shane W Coughlin, MD - Medicare Emergency Medicine in Memphis, TN