| 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 | 22 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 | 283 |
| 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 | 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: Accepting Medicare Assignments 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: Medicare Enrolled 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 |