Shane Rothermel, MD - Medicare Orthopedic Surgery in Pueblo, CO

Shane Rothermel, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Pueblo, Colorado. He went to Pennsylvania State University College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Parkview Ancillary Services Corporation and his current practice location is 3676 Parker Blvd Ste 390, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 595-7780.

Shane Rothermel is licensed to practice in Colorado (license number DR0065962) 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 1083000541.

Contact Information

Shane Rothermel, MD
3676 Parker Blvd Ste 390,
Pueblo, CO 81008-2215
(719) 595-7780
(719) 595-7789



Physician's Profile

Full NameShane Rothermel
GenderMale
SpecialityOrthopedic Surgery
Experience9 Years
Location3676 Parker Blvd Ste 390, Pueblo, Colorado
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 Rothermel attended and graduated from Pennsylvania State University College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1083000541
  • Provider Enumeration Date: 04/11/2015
  • Last Update Date: 10/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0648550285
  • Enrollment ID: I20210824002774

Medical Identifiers

Medical identifiers for Shane Rothermel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083000541NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 25MA10759000 (New Jersey)Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery MD462106 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery DR0065962 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Medical Center, IncPueblo, COHospital
Mt San Rafael HospitalTrinidad, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parkview Ancillary Services Corporation4385722511267

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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. Shane Rothermel allows following entities to bill medicare on his behalf.
Entity NameParkview Ancillary Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982878765
PECOS PAC ID: 4385722511
Enrollment ID: O20080429000248

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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. Shane Rothermel 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 Rothermel, MD
2500 English Creek Ave Ste 1300,
Egg Harbor Township, NJ 08234-5598

Ph: (609) 677-7013
Shane Rothermel, MD
3676 Parker Blvd Ste 390,
Pueblo, CO 81008-2215

Ph: (719) 595-7780

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Orthopaedic Surgery Doctors in Pueblo, CO

Shawn Jett Nakamura, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4112 Outlook Blvd Ste 37, Pueblo, CO 81008
Phone: 719-562-6254    Fax: 719-562-6255
Lucas Raymond King,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3676 Parker Blvd., Ste 310, Pueblo, CO 81008
Phone: 719-595-7780    Fax: 719-595-7789
Roger W Davis, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 3676 Parker Blvd, Suite 230, Pueblo, CO 81008
Phone: 719-553-2206    Fax: 719-553-2226
Dr. Alex Anthony Romero, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008
Phone: 719-562-6254    Fax: 719-562-6255
Jennifer Fitzpatrick, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3676 Parker Blvd, Suite 390, Pueblo, CO 81008
Phone: 719-595-7780    Fax: 719-595-7789
Lance R. Farnworth, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1919 W Us Highway 50, Pueblo, CO 81008
Phone: 719-253-7102    Fax: 719-253-7114

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