Shane Robert Wortman, DPM - Medicare Podiatrist in Fort Campbell, KY

Shane Robert Wortman, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 798-8375.

Shane Robert Wortman is licensed to practice in Nebraska (license number 285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245417385.

Contact Information

Shane Robert Wortman, DPM
650 Joel Dr,
Fort Campbell, KY 42223-5318
(270) 798-8375
(270) 798-8630

Map and Direction




Healthcare Provider's Profile

Full NameShane Robert Wortman
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245417385
  • Provider Enumeration Date: 01/30/2008
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0042539439
  • Enrollment ID: I20230920000468

Medical Identifiers

Medical identifiers for Shane Robert Wortman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245417385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 285 (Nebraska)Primary

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 Robert Wortman allows following entities to bill medicare on his behalf.
Provider NameGateway Foot And Ankle Center Plc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1932335551
PECOS PAC ID: 4284771114
Enrollment ID: O20091027000272

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 Robert Wortman 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 Robert Wortman, DPM
650 Joel Drive, Podiatry/ortho Dept,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8325
Shane Robert Wortman, DPM
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (270) 798-8375

Reviews and Comments


Podiatrist in Fort Campbell, KY

Sonya Kurichh, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8375    
Naomi Phayne, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 650 Joel Drive, Podiatry Clinic, Fort Campbell, KY 42223
Phone: 270-798-8638    

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.