Mr Shane Angus, AA is a medicare enrolled "Anesthesiologist Assistant" in Largo, Florida. His current practice location is
1551 W Bay Dr, Largo, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 581-8767.
Mr Shane Angus is licensed to practice in Florida (license number AA4) 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 1699710897.
Provider's Profile
| Full Name | Mr Shane Angus |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1551 W Bay Dr, Largo, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699710897
- Provider Enumeration Date: 06/19/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345230678
- Enrollment ID: I20111014000317
Medical Identifiers
Medical identifiers for Mr Shane Angus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699710897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | AA4 (Florida) | 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. Mr Shane Angus allows following entities to bill medicare on his behalf.
| Entity Name | Medstar Medical Group Ii Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000415 |
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| Entity Name | Medstar Medical Group Anesthesiology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528578333
PECOS PAC ID: 1052678034
Enrollment ID: O20171129001837 |
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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. Mr Shane Angus 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 |
|---|
Mr Shane Angus, AA
1551 W Bay Dr,
Largo, FL 33770-2209
Ph: (727) 581-8767 | Mr Shane Angus, AA
1551 W Bay Dr,
Largo, FL 33770-2209
Ph: (727) 581-8767 |
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