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

Shane T Gonzales, MD is a medicare enrolled "Anesthesiology" physician in Providence, Utah. He went to Medical College Of Wisconsin and graduated in 2000 and has 26 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 560 W 465 N Ste 604, Providence, 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
	560 W 465 N Ste 604, Providence, UT 84332-8006
	(435) 753-1600
	(435) 753-9521

Map and Direction

Physician's Profile

Full Name	Shane T Gonzales
Gender	Male
Speciality	Anesthesiology
Experience	26 Years
Location	560 W 465 N Ste 604, Providence, Utah
Accepts Medicare Assignments	Yes. 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: 06/22/2026

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.

Identifier	Type	State	Issuer
1346290335	NPI	-	NPPES
1841214483	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	5139675-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital
Cache Valley Hospital	North logan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Interwest Anesthesia Associates Llc	0042293359	27

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 Name	Interwest Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Shane T Gonzales, MD 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600	Shane T Gonzales, MD 560 W 465 N Ste 604, Providence, UT 84332-8006 Ph: (435) 753-1600

Reviews and Comments

Anesthesiology Doctors in Providence, UT

Jon R Robison, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521
Dr. Michael James Grover, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521
Joshua Tyler Christiansen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521
Jacob Robinson, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600
Gregory J Allred, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 453-753-9521
Steven John Weber, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600
Shawn M Nelson, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 560 W 465 N Ste 604, Providence, UT 84332 Phone: 435-753-1600 Fax: 435-753-9521

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