Shane P Mctighe, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Columbus, Georgia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lane Dermatology And Dermatologic Surgery Llc and his current practice location is
1210 Brookstone Centre Pkwy, Columbus, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 322-1717.
Shane P Mctighe is licensed to practice in Connecticut (license number ) 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 1750763397.
Physician's Profile
| Full Name | Shane P Mctighe |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 1210 Brookstone Centre Pkwy, Columbus, Georgia |
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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:
- Shane P Mctighe attended and graduated from West Virginia School Of Osteopathic Medicine in 2015
NPI Data:
- NPI Number: 1750763397
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 07/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 3072988096
- Enrollment ID: I20230615002147
Medical Identifiers
Medical identifiers for Shane P Mctighe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750763397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 93963 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lane Dermatology And Dermatologic Surgery Llc | 7719072941 | 7 |
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 P Mctighe allows following entities to bill medicare on his behalf.
| Entity Name | Lane Dermatology & Dermatologic Surgery LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437363587
PECOS PAC ID: 7719072941
Enrollment ID: O20071003000648 |
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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 P Mctighe 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 P Mctighe, DO
1210 Brookstone Centre Pkwy,
Columbus, GA 31904-9272
Ph: (706) 322-1717 | Shane P Mctighe, DO
1210 Brookstone Centre Pkwy,
Columbus, GA 31904-9272
Ph: (706) 322-1717 |
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