Dr Shane M Tackitt, DO in Mansfield, TX - Medicare Internal Medicine

Dr Shane M Tackitt, DO is a medicare enrolled "Internal Medicine" physician in Mansfield, Texas. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lonestar Hospital Medicine Associates Pa and his current practice location is 2700 E Broad St, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at (682) 242-6470.

Dr Shane M Tackitt is licensed to practice in Texas (license number S5274) 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 1588035976.

Contact Information

	Dr Shane M Tackitt, DO
	2700 E Broad St, Mansfield, TX 76063-5899
	(682) 242-6470
	(682) 622-2092

Map and Direction

Physician's Profile

Full Name	Dr Shane M Tackitt
Gender	Male
Speciality	Internal Medicine
Experience	8 Years
Location	2700 E Broad St, Mansfield, Texas
Accepts Medicare Assignments	Yes. 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 M Tackitt graduated from medical school in 2017

NPI Data:

NPI Number: 1588035976
Provider Enumeration Date: 10/12/2015
Last Update Date: 07/01/2020

Medicare PECOS Information:

PECOS PAC ID: 9830468032
Enrollment ID: I20200519003055

Medical Identifiers

Medical identifiers for Dr Shane M Tackitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588035976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	S5274 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Washington)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	BP10058725 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	S5274 (Texas)	Secondary
207R00000X	Internal Medicine	S5274 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Mansfield Medical Center	Mansfield, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lonestar Hospital Medicine Associates Pa	6709049703	113

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 M Tackitt allows following entities to bill medicare on his behalf.

Entity Name	Lonestar Hospital Medicine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620

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 M Tackitt 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 Address	Practice Location Address
Dr Shane M Tackitt, DO 2700 E Broad St, Department Internal Medicine, Mansfield, TX 76063-5899 Ph: (682) 242-6470	Dr Shane M Tackitt, DO 2700 E Broad St, Mansfield, TX 76063-5899 Ph: (682) 242-6470

Reviews and Comments

Internal Medicine Doctors in Mansfield, TX

Gretchen M Bures, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000
Dr. John Ira Thurmond, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570
Michael G Mcinnis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 Matlock Rd, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186
Theophilus Tolulope Ogungbamigbe, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1302 Bankston Ln, Mansfield, TX 76063 Phone: 785-354-9591
Hiral Vishal Thakkar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-2000
Jaremy Emer James, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 252 Matlock Road, Suite 130, Mansfield, TX 76063 Phone: 817-473-7184 Fax: 817-473-7186
Natasha Caballero, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-532-6470

Dr Shane M Tackitt, DO - Medicare Internal Medicine in Mansfield, TX