Mr Shane A Maxwell, DO - Medicare Pain Management in Meridian, ID

Mr Shane A Maxwell, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Meridian, Idaho. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Idaho Physical Medicine And Rehabilitation Pa and his current practice location is 3551 E Overland Rd, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 884-1333.

Mr Shane A Maxwell is licensed to practice in Idaho (license number O0385) 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 1508825456.

Contact Information

Mr Shane A Maxwell, DO
3551 E Overland Rd,
Meridian, ID 83642-6757
(208) 884-1333
(208) 489-5188



Physician's Profile

Full NameMr Shane A Maxwell
GenderMale
SpecialityPain Management
Experience23 Years
Location3551 E Overland Rd, Meridian, Idaho
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:
  • Mr Shane A Maxwell attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2001
  NPI Data:
  • NPI Number: 1508825456
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092779231
  • Enrollment ID: I20060703000093

Medical Identifiers

Medical identifiers for Mr Shane A Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508825456NPI-NPPES
807415700MedicaidID
1508825456MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine O0385 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Idaho Physical Medicine And Rehabilitation Pa39715799547

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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. Mr Shane A Maxwell allows following entities to bill medicare on his behalf.
Entity NameIdaho Physical Medicine And Rehabilitation Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497711329
PECOS PAC ID: 3971579954
Enrollment ID: O20040909001424

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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. Mr Shane A Maxwell 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
Mr Shane A Maxwell, DO
Po Box 1128,
Boise, ID 83701-1128

Ph: (208) 381-2222
Mr Shane A Maxwell, DO
3551 E Overland Rd,
Meridian, ID 83642-6757

Ph: (208) 884-1333

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Pain Medicine Doctors in Meridian, ID


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