Dr Shane R Fancher, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Decatur, Illinois. His current practice location is
1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 464-2729.
Dr Shane R Fancher is licensed to practice in Illinois (license number 036-094339) 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 1427055433.
Physician's Profile
| Full Name | Dr Shane R Fancher |
|---|
| Gender | Male |
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| Speciality | |
|---|
| Experience | Years |
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| Location | 1800 E Lake Shore Dr, Decatur, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shane R Fancher attended and graduated from in
NPI Data:
- NPI Number: 1427055433
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Shane R Fancher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427055433 | NPI | - | NPPES |
| 336055454 | Other | IL | BCBS |
| 036094339 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 24559 (South Carolina) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME93432 (Florida) | Secondary |
| 208600000X | Surgery | 036-094339 (Illinois) | Secondary |
| 208600000X | Surgery | 24559 (South Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 036-094339 (Illinois) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036-094339 (Illinois) | Secondary |
| 208600000X | Surgery | ME93432 (Florida) | Secondary |
| 207L00000X | Anesthesiology | 24559 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | 036-094339 (Illinois) | Secondary |
| 207L00000X | Anesthesiology | ME93432 (Florida) | Secondary |
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 R Fancher 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 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 |
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