Shane Arthur Baker, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cedar City, Utah. His current practice location is
1303 N Main St, Cedar City, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 868-5000.
Shane Arthur Baker is licensed to practice in Utah (license number 308374-1205) 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 1538273859.
Physician's Profile
| Full Name | Shane Arthur Baker |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1303 N Main St, Cedar City, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538273859
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850295221
- Enrollment ID: I20031202000206
Medical Identifiers
Medical identifiers for Shane Arthur Baker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538273859 | NPI | - | NPPES |
| 200132910 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 308374-1205 (Utah) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01051615A (Indiana) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shane Arthur Baker allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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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 Arthur Baker 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 |
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Shane Arthur Baker, MD
Po Box 629,
Ogden, UT 84402-0629
Ph: (801) 621-6671 | Shane Arthur Baker, MD
1303 N Main St,
Cedar City, UT 84721
Ph: (435) 868-5000 |
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