| Mr Shane Eugene Mass, PA-C | |
|
22135 Ih 10 W, San Antonio, TX 78257-1621 | |
| (210) 698-1643 | |
| Not Available |
| Full Name | Mr Shane Eugene Mass |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 22135 Ih 10 W, San Antonio, Texas |
| 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 |
|---|---|---|---|
| 1356959241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13690 (Texas) | Primary |
| 363A00000X | Physician Assistant | 11273 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Intermountain Health Saint Joseph Hospital | Denver, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ies Obs Colorado Pllc | 7214473388 | 28 |
| Presbyterian Healthcare Services | 9234041708 | 1390 |
| Ies Er Oklahoma Llc | 5395234678 | 135 |
| Entity Name | Ies Colorado PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245089028 PECOS PAC ID: 5698211241 Enrollment ID: O20240719001275 |
| Entity Name | Ies Obs Colorado PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235988015 PECOS PAC ID: 7214473388 Enrollment ID: O20240725000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Eugene Mass, PA-C 22135 Ih 10 W, San Antonio, TX 78257-1621 Ph: (402) 578-1892 | Mr Shane Eugene Mass, PA-C 22135 Ih 10 W, San Antonio, TX 78257-1621 Ph: (210) 698-1643 |
Robert A Raposo, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2235 Thousand Oaks Dr, Suite 117, San Antonio, TX 78232 Phone: 210-490-1000 Fax: 210-490-3806 |
Ms. Marizu Borrego, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19272 Stone Oak Pkwy, Suite 101, San Antonio, TX 78258 Phone: 210-265-8851 Fax: 210-265-8855 |
Anissa Juarez Ramirez, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Pleasanton Rd, San Antonio, TX 78214 Phone: 210-921-3800 Fax: 210-334-2851 |
Jordan Gallo Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6315 S Zarzamora St, San Antonio, TX 78211 Phone: 210-977-1900 Fax: 210-977-9326 |
Alissa Nicole Robbins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9819 Huebner Rd Ste 113, San Antonio, TX 78240 Phone: 210-692-0101 Fax: 210-692-7615 |
Tiffany Michels, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-787-0010 |
Echo J Walby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 N Frio St Bldg 1, San Antonio, TX 78207 Phone: 210-261-1060 Fax: 210-261-1821 |