| Dr Shane Myles York, DPM | |
|
2111 Midlands Ct, Sycamore, IL 60178-3125 | |
| (815) 758-0000 | |
| (815) 756-7130 |
| Full Name | Dr Shane Myles York |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 23 Years |
| Location | 2111 Midlands Ct, Sycamore, Illinois |
| 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 |
|---|---|---|---|
| 1588613780 | NPI | - | NPPES |
| 119909 | Other | IL | HEALTH ALLIANCE IDENTIFIE |
| 1915167 | Other | IL | BLUECROSSBLUE SHIELD |
| 016005300 | Medicaid | IL | |
| 03595800001 | Other | IL | DMERC IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | P-189 (Idaho) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016-005300 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Provider Name | Central Dupage Physician Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Myles York, DPM 2111 Midlands Ct, Sycamore, IL 60178-3125 Ph: (815) 758-0000 | Dr Shane Myles York, DPM 2111 Midlands Ct, Sycamore, IL 60178-3125 Ph: (815) 758-0000 |
Dr. Jennifer Jo Pacaccio, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Oakland Dr, Unit A, Sycamore, IL 60178 Phone: 815-669-4811 Fax: 815-986-6062 | |
Thomas S Dwyer, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2111 Midlands Ct, Sycamore, IL 60178 Phone: 815-758-0000 Fax: 815-758-8521 | |
Tina Starkweather Dpm & Associates Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2560 Hauser Ross Dr., Suite 400, Sycamore, IL 60178 Phone: 815-899-3338 Fax: 815-899-3332 | |
Neil B Levin, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1675 Bethany Rd, Suite B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Family Podiatry Of Dekalb Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1675 Bethany Rd, Ste B, Sycamore, IL 60178 Phone: 815-899-2575 Fax: 815-899-2581 | |
Pramod N Patel, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-758-8671 Fax: 815-758-1731 |