Shane Foree Spears, PA-C, CCP - Medicare in Tyler, TX

Shane Foree Spears, PA-C, CCP is a medicare enrolled "Physician Assistant - Surgical" in Tyler, Texas. His current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 590-5611.

Shane Foree Spears is licensed to practice in Texas (license number PA15805) 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 1336119916.

Contact Information

Shane Foree Spears, PA-C, CCP
1000 S Beckham Ave,
Tyler, TX 75701-1908
(903) 590-5611
Not Available

Map and Direction




Provider's Profile

Full NameShane Foree Spears
GenderMale
Speciality
Experience Years
Location1000 S Beckham Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. 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 Foree Spears attended and graduated from in
  NPI Data:
  • NPI Number: 1336119916
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 03/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Shane Foree Spears such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336119916NPI-NPPES
1060261MedicaidWA
9468232OtherWAAETNA
0225125OtherWAL&I AND CRIME VICTIMS
1425SPOtherWAREGENCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA10004751 (Washington)Secondary
363AS0400XPhysician Assistant - Surgical PA10004751 (Washington)Secondary
363AS0400XPhysician Assistant - Surgical PA15805 (Texas)Primary

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 Foree Spears 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 AddressPractice Location Address
Shane Foree Spears, PA-C, CCP
1000 S Beckham Ave,
Tyler, TX 75701-1908

Ph: (903) 590-5611
Shane Foree Spears, PA-C, CCP
1000 S Beckham Ave,
Tyler, TX 75701-1908

Ph: (903) 590-5611

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.