Shane Allan Philliber, CNP is a medicare enrolled "Emergency Medicine" in Joplin, Missouri. His current practice location is
530 S Maiden Ln, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 782-6200.
Shane Allan Philliber is licensed to practice in Missouri (license number 2021049273) 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 1891455507.
Provider's Profile
| Full Name | Shane Allan Philliber |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 530 S Maiden Ln, Joplin, Missouri |
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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 Allan Philliber attended and graduated from in
NPI Data:
- NPI Number: 1891455507
- Provider Enumeration Date: 12/21/2021
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shane Allan Philliber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891455507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 2021049273 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 2021049273 (Missouri) | 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 Allan Philliber 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 Allan Philliber, CNP
14741 Tulsa Ln,
Stark City, MO 64866-7964
Ph: (417) 638-5183 | Shane Allan Philliber, CNP
530 S Maiden Ln,
Joplin, MO 64801-3084
Ph: (417) 782-6200 |
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