| Dr Shane Joseph Larue, MD | |
|
100 Medical Dr, Hannibal, MO 63401-6877 | |
| (573) 231-3167 | |
| (573) 221-1659 |
| Full Name | Dr Shane Joseph Larue |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 20 Years |
| Location | 100 Medical Dr, Hannibal, Missouri |
| 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 |
|---|---|---|---|
| 1811955180 | NPI | - | NPPES |
| 1811955180 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heart Care Specialists Llc | 2062774755 | 16 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
| Entity Name | Minuteclinic Diagnostic Of Kansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125 |
| Entity Name | Heart Care Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275031866 PECOS PAC ID: 2062774755 Enrollment ID: O20180316000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Joseph Larue, MD 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 221-5250 | Dr Shane Joseph Larue, MD 100 Medical Dr, Hannibal, MO 63401-6877 Ph: (573) 231-3167 |
Jennifer Lynn Minoff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3537 | |
Dr. John Paul Greving, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3400 Fax: 573-629-3414 | |
Dr. Barbara K Tuley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 El Rancho Dr, Hannibal, MO 63401 Phone: 918-429-6002 Fax: 573-719-3480 | |
Dr. Karol Edward Rosner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3515 | |
Dr. George P Kerkemeyer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3783 Fax: 573-231-3784 | |
Santhisri Kodali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Hospital Dr, Hannibal, MO 63401 Phone: 573-629-3500 Fax: 573-629-3314 | |
Dr. Priscilla E Long, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Hannibal, MO 63401 Phone: 573-231-3116 Fax: 573-231-3714 |