Shane T Gonzales, MD - Medicare Anesthesiology in Logan, UT

Shane T Gonzales, MD is a medicare enrolled "Anesthesiology" physician in Logan, Utah. He went to Medical College Of Wisconsin and graduated in 2000 and has 24 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Interwest Anesthesia Associates Llc and his current practice location is 274 N Main St, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 753-1600.

Shane T Gonzales is licensed to practice in Utah (license number 5139675-1205) 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 1346290335.

Contact Information

Shane T Gonzales, MD
274 N Main St,
Logan, UT 84321-3915
(435) 753-1600
(435) 753-9521

Map and Direction




Physician's Profile

Full NameShane T Gonzales
GenderMale
SpecialityAnesthesiology
Experience24 Years
Location274 N Main St, Logan, Utah
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 T Gonzales attended and graduated from Medical College Of Wisconsin in 2000
  NPI Data:
  • NPI Number: 1346290335
  • Provider Enumeration Date: 05/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5193708428
  • Enrollment ID: I20040609000561

Medical Identifiers

Medical identifiers for Shane T Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346290335NPI-NPPES
870550181001MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 5139675-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Interwest Anesthesia Associates Llc004229335927

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 T Gonzales allows following entities to bill medicare on his behalf.
Entity NameInterwest Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841214483
PECOS PAC ID: 0042293359
Enrollment ID: O20040609000206

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 T Gonzales 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 T Gonzales, MD
274 N Main St,
Logan, UT 84321-3915

Ph: (435) 753-1600
Shane T Gonzales, MD
274 N Main St,
Logan, UT 84321-3915

Ph: (435) 753-1600

Reviews and Comments


Anesthesiology Doctors in Logan, UT

Jon R Robison, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Peter C Daines,
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Vikas Garg, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Lyman B Stevens, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Joshua Tyler Christiansen, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    
Richard B Palfreyman, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521
Michael L Broadbent, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 274 N Main St, Logan, UT 84321
Phone: 435-753-1600    Fax: 435-753-9521

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.