| Dr Shane R Fancher, MD | |
|
1800 E Lake Shore Dr, Decatur, IL 62521-3810 | |
| (217) 464-2729 | |
| (217) 464-1693 |
| Full Name | Dr Shane R Fancher |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 33 Years |
| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
| 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 |
|---|---|---|---|
| 1427055433 | NPI | - | NPPES |
| 336055454 | Other | IL | BCBS |
| 036094339 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital | Decatur, IL | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North American Partners In Anesthesia Illinois Llc | 1052576519 | 314 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Pain Consultants Of Central Illinois Llc | 7719071661 | 4 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Entity Name | Kirby Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
| Entity Name | Pain Consultants Of Central Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497959936 PECOS PAC ID: 7719071661 Enrollment ID: O20070927000008 |
| Entity Name | Central Illinois Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558425462 PECOS PAC ID: 7012944648 Enrollment ID: O20071211000663 |
| Entity Name | Anesthesia Pain Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790075489 PECOS PAC ID: 6507930526 Enrollment ID: O20080808000180 |
| Entity Name | Jacksonville Crnas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821302068 PECOS PAC ID: 2961681523 Enrollment ID: O20110127001154 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane R Fancher, MD 4160 S Lake Ct, Decatur, IL 62521-8440 Ph: (217) 425-9665 | Dr Shane R Fancher, MD 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2729 |
Francesco Vetri, M.D. PH.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 W Hay St Ste 213, Decatur, IL 62526 Phone: 217-876-6640 Fax: 217-876-6645 | |
Dr. Sundararaj R Cherala, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 W Hay St Ste 213, Decatur, IL 62526 Phone: 217-876-6640 Fax: 217-876-6645 |