Shane Allan Philliber, CNP is a medicare enrolled "Emergency Medicine" in Joplin, Missouri. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Freeman-oak Hill Health System and his current practice location is
530 S Maiden Ln, Joplin, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 782-6200.
Shane Allan Philliber is licensed to practice in Missouri (license number 2021049273) 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 1891455507.
Provider's Profile
| Full Name | Shane Allan Philliber |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 530 S Maiden Ln, Joplin, Missouri |
|---|
| 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 Allan Philliber graduated from nursing school in 2021
NPI Data:
- NPI Number: 1891455507
- Provider Enumeration Date: 12/21/2021
- Last Update Date: 12/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002200623
- Enrollment ID: I20220224002702
Medical Identifiers
Medical identifiers for Shane Allan Philliber such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891455507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2021049273 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 2021049273 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Freeman-oak Hill Health System | 8325942253 | 341 |
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 Allan Philliber allows following entities to bill medicare on his behalf.
| Entity Name | Freeman-oak Hill Health System |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1891809679
PECOS PAC ID: 8325942253
Enrollment ID: O20040107000022 |
|---|
| Entity Name | Ozark Tri-county Health Care Consortium |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265428791
PECOS PAC ID: 8123918257
Enrollment ID: O20040330001501 |
|---|
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 Allan Philliber 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 Allan Philliber, CNP
14741 Tulsa Ln,
Stark City, MO 64866-7964
Ph: (417) 638-5183 | Shane Allan Philliber, CNP
530 S Maiden Ln,
Joplin, MO 64801-3084
Ph: (417) 782-6200 |
Reviews and Comments