Mr Shane A Maxwell, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Meridian, Idaho. His current practice location is
3551 E Overland Rd, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 884-1333.
Mr Shane A Maxwell is licensed to practice in Idaho (license number O0385) 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 1508825456.
Physician's Profile
| Full Name | Mr Shane A Maxwell |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3551 E Overland Rd, Meridian, Idaho |
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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:
- Mr Shane A Maxwell attended and graduated from in
NPI Data:
- NPI Number: 1508825456
- Provider Enumeration Date: 03/20/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Shane A Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508825456 | NPI | - | NPPES |
| 807415700 | Medicaid | ID | |
| 1508825456 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | O0385 (Idaho) | Primary |
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. Mr Shane A Maxwell 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 |
|---|
Mr Shane A Maxwell, DO
Po Box 1128,
Boise, ID 83701-1128
Ph: (208) 381-2222 | Mr Shane A Maxwell, DO
3551 E Overland Rd,
Meridian, ID 83642-6757
Ph: (208) 884-1333 |
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