| Stephan W Shane, DO | |
|
859 S 4th Ave, Brighton, CO 80601-3543 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Stephan W Shane |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 859 S 4th Ave, Brighton, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447332424 | NPI | - | NPPES |
| 26588021 | Medicaid | CO | |
| 019392 | Other | CO | KAISER COMMERCIAL NUMBER |
| 036009853 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-098583 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 47019 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Francis Medical Center | Peoria, IL | Home health agency |
| Spoon River Home Hlth Services | Farmington, IL | Home health agency |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Proctor Hospital | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan W Shane, DO 859 S 4th Ave, Brighton, CO 80601-3543 Ph: (303) 338-4545 | Stephan W Shane, DO 859 S 4th Ave, Brighton, CO 80601-3543 Ph: (303) 338-4545 |
Donald A Rabor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1610 Prairie Center Pkwy Ste 2330, Brighton, CO 80601 Phone: 303-272-0500 Fax: 303-654-9895 | |
Mr. James I Meyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 Prairie Center Pkwy Ste 310, Brighton, CO 80601 Phone: 303-659-5800 Fax: 303-659-5156 | |
Dr. Behzad Molavi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 Prairie Center Pkwy, Suite 350, Brighton, CO 80601 Phone: 303-659-7000 Fax: 303-659-4508 | |
Robert A Massa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1606 Prairie Center Pkwy, Suite 370, Brighton, CO 80601 Phone: 303-659-5800 Fax: 303-659-5156 | |
Dr. Jennifer Lehman, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1600 Prairie Center Parkway, Platte Valley Medical Center, Brighton, CO 80601 Phone: 303-498-1669 | |
Dr. Hannah Hewitt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Prairie Center Pkwy, Brighton, CO 80601 Phone: 303-498-1600 |