Shane Weare, DO is a medicare enrolled "Emergency Medicine" physician in Coquille, Oregon. His current practice location is
940 E 5th St, Coquille, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 396-3101.
Shane Weare is licensed to practice in Oregon (license number DO205777) 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 1588018048.
Physician's Profile
| Full Name | Shane Weare |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 940 E 5th St, Coquille, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588018048
- Provider Enumeration Date: 04/20/2016
- Last Update Date: 10/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284981127
- Enrollment ID: I20210413003017
Medical Identifiers
Medical identifiers for Shane Weare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588018048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | DO205777 (Oregon) | 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 Weare allows following entities to bill medicare on his behalf.
| Entity Name | Dlp Conemaugh Physician Practices Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
|---|
| Entity Name | Nason Physician Practices Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1306236609 PECOS PAC ID: 5890012728 Enrollment ID: O20150402000491 |
|---|
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 Weare 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 Weare, DO 940 E 5th St, Coquille, OR 97423-1666 Ph: () - | Shane Weare, DO 940 E 5th St, Coquille, OR 97423-1699 Ph: (541) 396-3101 |
Reviews and Comments