Shane Mcdougal, MD - Medicare Family Practice in Whitesburg, KY

Shane Mcdougal, MD is a medicare enrolled "Family Medicine" physician in Whitesburg, Kentucky. He went to University Of Kentucky College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Appalachian Regional Healthcare Inc. and his current practice location is 47 Highway 119 S, Ste 3, Whitesburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 633-7000.

Shane Mcdougal is licensed to practice in Kentucky (license number 37761) 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 1104871862.

Contact Information

Shane Mcdougal, MD
47 Highway 119 S, Ste 3,
Whitesburg, KY 41858-7131
(606) 633-7000
(606) 633-7001

Map and Direction




Physician's Profile

Full NameShane Mcdougal
GenderMale
SpecialityFamily Practice
Experience24 Years
Location47 Highway 119 S, Whitesburg, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane Mcdougal attended and graduated from University Of Kentucky College Of Medicine in 2000
  NPI Data:
  • NPI Number: 1104871862
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 10/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709854151
  • Enrollment ID: I20130925000126

Medical Identifiers

Medical identifiers for Shane Mcdougal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104871862NPI-NPPES
64063126MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37761 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Whitesburg Arh HhaWhitesburg, KYHome health agency
Mountain Community Hospice Dba Bluegrass Care NaviHazard, KYHospice
Whitesburg Arh HospitalWhitesburg, KYHospital
Harlan Arh HospitalHarlan, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Appalachian Regional Healthcare Inc.0840107835232

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 Mcdougal allows following entities to bill medicare on his behalf.
Entity NameWell-key Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114234382
PECOS PAC ID: 1254528763
Enrollment ID: O20101209001106

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 Mcdougal 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 Mcdougal, MD
47 Highway 119 S, Ste 3,
Whitesburg, KY 41858

Ph: (606) 633-7000
Shane Mcdougal, MD
47 Highway 119 S, Ste 3,
Whitesburg, KY 41858-7131

Ph: (606) 633-7000

Reviews and Comments


Family Medicine Doctors in Whitesburg, KY

Marlene A Bielecki, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 226 Medical Plaza Lane, Whitesburg, KY 41858
Phone: 606-633-4871    Fax: 606-633-0883
Jonathan A Hatton, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 226 Medical Plaza Ln, Whitesburg, KY 41858
Phone: 606-633-4871    Fax: 606-633-0883
Ricky E Collins, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 214 Hospital Rd, Whitesburg, KY 41858
Phone: 606-633-3631    Fax: 606-633-6204
Van S Breeding, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 226 Medical Plaza Lane, Whitesburg, KY 41858
Phone: 606-633-4871    Fax: 606-633-8798
Joshua Dean Watts, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 240 Hospital Rd, Whitesburg, KY 41858
Phone: 606-633-3500    
Katherine Belle Gish, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 214 Hospital Rd, Whitesburg, KY 41858
Phone: 606-633-3631    Fax: 606-633-6204

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.