Dr Shane Dennis Dieckman, DO - Medicare Diagnostic Radiology in Offutt Afb, NE

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Dr Shane Dennis Dieckman, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Offutt Afb, Nebraska. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Consultants Pc, Think Aksarben Llc, Radiology Consultants Pc and his current practice location is 2501 Capehart Rd, Offutt Afb, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 294-2448.

Dr Shane Dennis Dieckman is licensed to practice in Nebraska (license number 305) 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 1487647368.

Contact Information

Dr Shane Dennis Dieckman, DO
2501 Capehart Rd,
Offutt Afb, NE 68113-1043
(402) 294-2448
Not Available

Map and Direction




Physician's Profile

Full NameDr Shane Dennis Dieckman
GenderMale
SpecialityDiagnostic Radiology
Experience24 Years
Location2501 Capehart Rd, Offutt Afb, Nebraska
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Shane Dennis Dieckman graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1487647368
  • Provider Enumeration Date: 08/26/2005
  • Last Update Date: 10/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1355580135
  • Enrollment ID: I20180621001282

Medical Identifiers

Medical identifiers for Dr Shane Dennis Dieckman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487647368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology DR.0055905 (Colorado)Secondary
2085R0202XRadiology - Diagnostic Radiology 305 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Health Bergan MercyOmaha, NEHospital
Cass County Memorial HospitalAtlantic, IAHospital
Chi Health LakesideOmaha, NEHospital
Clarinda Regional Health CenterClarinda, IAHospital
Myrtue Medical CenterHarlan, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Consultants Pc832594779942
Think Aksarben Llc963839450587
Radiology Consultants Pc832594779942

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. Dr Shane Dennis Dieckman allows following entities to bill medicare on his behalf.
Entity NameRadiology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215969407
PECOS PAC ID: 8325947799
Enrollment ID: O20040105000605
Entity NameThink Aksarben Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316357676
PECOS PAC ID: 9638394505
Enrollment ID: O20140819000301

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. Dr Shane Dennis Dieckman 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 AddressPractice Location Address
Dr Shane Dennis Dieckman, DO
4102 Pinion Dr,
Usaf Academy, CO 80840-2502

Ph: (719) 333-5115		Dr Shane Dennis Dieckman, DO
2501 Capehart Rd,
Offutt Afb, NE 68113-1043

Ph: (402) 294-2448

Reviews and Comments


Radiology Doctors in Offutt Afb, NE

Dr. Jonathan Muldermans, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113
Phone: 402-294-9127    
Dr. Marcus Scott Maydew, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113
Phone: 402-295-7405    
Dr. Graham Warden, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 2501 Capehart Rd, Offutt Afb, NE 68113
Phone: 555-867-5309    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.