Michael Dixon Shane, MD - Radiology in Santa Rosa, CA

Michael Dixon Shane, MD is a Radiology - Diagnostic Radiology physician based in Santa Rosa, California. Michael Dixon Shane is licensed to practice in California (license number C30136) and his current practice location is 121 Sotoyome St, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 546-4062.

NPI number for Michael Dixon Shane is 1154401990 and his current mailing address is 121 Sotoyome St, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154401990.

Contact Information

Michael Dixon Shane, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823
(707) 546-4062
(707) 578-6258

Map and Direction




Physician's Profile

Full NameMichael Dixon Shane
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location121 Sotoyome St, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154401990
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 07/07/2009

Medical Identifiers

Medical identifiers for Michael Dixon Shane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154401990NPI-NPPES
00C301360MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging C30136 (California)Secondary
2085N0904XRadiology - Nuclear Radiology C30136 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology C30136 (California)Primary
2085U0001XRadiology - Diagnostic Ultrasound C30136 (California)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. Michael Dixon Shane is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Dixon Shane, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 546-4062
Michael Dixon Shane, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 546-4062

Reviews and Comments


Radiology Doctors in Santa Rosa, CA

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David Howard Schmidt, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405
Phone: 707-546-4062    Fax: 707-578-6258
Dr. Shawn Daly, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405
Phone: 707-546-4062    Fax: 707-525-4095
Clifford F Sweet, MD
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Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-569-4740    
Gregory P Penning, R.T.(R)(CT)ARRT
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Medicare: Not Enrolled in Medicare
Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403
Phone: 707-576-4000    

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