Shane Koler, DO in Corinth, MS - Medicare Emergency Medicine

Shane Koler, DO is a medicare enrolled "Emergency Medicine" physician in Corinth, Mississippi. His current practice location is 611 Alcorn Dr, Corinth, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 293-7687.

Shane Koler is licensed to practice in Tennessee (license number 5829) 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 1962073825.

Contact Information

	Shane Koler, DO
	611 Alcorn Dr, Corinth, MS 38834-9321
	(662) 293-7687
	(662) 293-4347

Map and Direction

Physician's Profile

Full Name	Shane Koler
Gender	Male
Speciality	Emergency Medicine
Location	611 Alcorn Dr, Corinth, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962073825
Provider Enumeration Date: 07/01/2021
Last Update Date: 04/07/2025

Medicare PECOS Information:

PECOS PAC ID: 9133654536
Enrollment ID: I20241121004026

Medical Identifiers

Medical identifiers for Shane Koler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962073825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5829 (Tennessee)	Primary

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 Koler allows following entities to bill medicare on his behalf.

Entity Name	Emergency Coverage Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666

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 Koler 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
Shane Koler, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (662) 293-7687	Shane Koler, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (662) 293-7687

Reviews and Comments

Emergency Medicine Doctors in Corinth, MS

Dr. Jessica Vo, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000
Nastassjia Giovanna Debourbon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000
Amy B Davis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 Pratt Dr Ste 1a, Corinth, MS 38834 Phone: 662-286-0088 Fax: 662-286-0067
Dr. John Andrew Cooper, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000
Bennett Davis, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 407-947-1369
Dr. Kevin Jonathan Schwechten, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 Glenmore St, Corinth, MS 38834 Phone: 662-415-7732
Dr. Porscha Cobb, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000

Shane Koler, DO - Medicare Emergency Medicine in Corinth, MS