Shane Alan Daugherty, - Medicare Urology in Meadville, PA

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Shane Alan Daugherty, is a medicare enrolled "Urology" physician in Meadville, Pennsylvania. His current practice location is 765 Liberty St Ste 207a, Meadville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 373-2156.

Shane Alan Daugherty is licensed to practice in Pennsylvania (license number OS026090) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154902096.

Contact Information

Shane Alan Daugherty,
765 Liberty St Ste 207a,
Meadville, PA 16335-2568
(814) 373-2156
(814) 373-2159

Map and Direction




Physician's Profile

Full NameShane Alan Daugherty
GenderMale
SpecialityUrology
Location765 Liberty St Ste 207a, Meadville, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154902096
  • Provider Enumeration Date: 04/20/2021
  • Last Update Date: 06/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3577963909
  • Enrollment ID: I20210607001786

Medical Identifiers

Medical identifiers for Shane Alan Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154902096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology OS026090 (Pennsylvania)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Shane Alan Daugherty 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 AddressPractice Location Address
Shane Alan Daugherty,
1034 Grove St,
Meadville, PA 16335-2945

Ph: (814) 373-2156		Shane Alan Daugherty,
765 Liberty St Ste 207a,
Meadville, PA 16335-2568

Ph: (814) 373-2156

Reviews and Comments


Urology Doctors in Meadville, PA

Mandeep Singh, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 505 Poplar St, Suite 209, Meadville, PA 16335
Phone: 814-373-2156    
Michael Martynik, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 765 Liberty St Ste 207, Meadville, PA 16335
Phone: 814-373-2156    Fax: 814-373-2159

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.