Dr Shane A Serfling, DO | |
1120 Polaris Pkwy, Suite 100, Columbus, OH 43240-4042 | |
(614) 847-1120 | |
(614) 847-1205 |
Full Name | Dr Shane A Serfling |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 1120 Polaris Pkwy, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497724843 | NPI | - | NPPES |
36118188 | Other | IL | BCBS |
P00936461 | Other | IL | RRMCARE THRU CESIISC (GES) |
0361181882 | Medicaid | IL | |
2568234 | Medicaid | OH | |
000000209264 | Other | OH | ANTHEM |
P00936459 | Other | IL | RRMCARE THRU CESIISC (GES) |
036118188 | Medicaid | IL | |
P00415663 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34-008486 (Ohio) | Secondary |
207P00000X | Emergency Medicine | 036118188 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Methodist Medical Center Of Illinois | 1355259714 | 270 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Entity Name | Nes Michigan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740794536 PECOS PAC ID: 2961578265 Enrollment ID: O20180125001584 |
Entity Name | Epss, Llc- Metro Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane A Serfling, DO Po Box 710725, Columbus, OH 43271-0725 Ph: (440) 716-1283 | Dr Shane A Serfling, DO 1120 Polaris Pkwy, Suite 100, Columbus, OH 43240-4042 Ph: (614) 847-1120 |
Lauren Talanda-fath Southerland, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Emergency Department, Columbus, OH 43210 Phone: 614-293-8305 | |
Kushal Nandam, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 376 W 10th Ave, 760 Prior Hall, Columbus, OH 43210 Phone: 614-293-3551 | |
Alexander J. Stuber, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2323 W 5th Ave, Columbus, OH 43204 Phone: 330-631-5829 | |
Andrew Gathof, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8305 | |
Dr. Maura Marie Manning, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 480 S 3rd St, Columbus, OH 43215 Phone: 614-512-9665 | |
Maulik Trivedi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 W Broad St Ste 1330, Columbus, OH 43215 Phone: 908-663-2929 | |
Dr. Heather Michelle Childers, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5100 W Broad St, Columbus, OH 43228 Phone: 614-544-1000 |