| Dr Shane A Avery, MD | |
|
1469 North Gardner, Scottsburg, IN 47170-0290 | |
| (812) 752-1151 | |
| (812) 752-1152 |
| Full Name | Dr Shane A Avery |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1469 North Gardner, Scottsburg, Indiana |
| 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 |
|---|---|---|---|
| 1568452696 | NPI | - | NPPES |
| 201163750A | Medicaid | IN | |
| 000000042772 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01045558A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 01045558A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scott Memorial Health | Scottsburg, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 76 |
| Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20090113000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane A Avery, MD 1469 North Gardner, Po Box 290, Scottsburg, IN 47170-0290 Ph: (812) 752-1151 | Dr Shane A Avery, MD 1469 North Gardner, Scottsburg, IN 47170-0290 Ph: (812) 752-1151 |
Dr. Dhamayanthi Sivamohan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1428 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-4001 Fax: 812-752-4654 | |
Dr. Samuel P Brinson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1366 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-7444 Fax: 812-752-6855 | |
Mr. Russell Kevin Rogers, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1461 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-4656 Fax: 812-752-4919 | |
Dr. Janet Marie Buhse, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 941 W Mcclain St, Suite C, Scottsburg, IN 47170 Phone: 812-752-7667 Fax: 812-752-7687 | |
Mrs. Jennifer Mae Craig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1465 N. Gardner Street, Scottsburg, IN 47170 Phone: 812-752-0001 Fax: 812-752-0010 | |
Dr. Larry Ray Hunefeld, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1441 N Gardner St, Scottsburg, IN 47170 Phone: 812-752-4055 Fax: 812-752-5835 |