Wesley Hannah Shane, DO in Grand Rapids, MI - Medicare Pediatrics

Wesley Hannah Shane, DO is a medicare enrolled "Pediatrics" physician in Grand Rapids, Michigan. Her current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (866) 989-7999.

Wesley Hannah Shane is licensed to practice in Michigan (license number 5101027303) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013544030.

Contact Information

	Wesley Hannah Shane, DO
	100 Michigan St Ne, Grand Rapids, MI 49503-2560
	(866) 989-7999
	Not Available

Physician's Profile

Full Name	Wesley Hannah Shane
Gender	Female
Speciality	Pediatrics
Location	100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013544030
Provider Enumeration Date: 03/27/2020
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 9234599929
Enrollment ID: I20230712004358

Medical Identifiers

Medical identifiers for Wesley Hannah Shane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013544030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	5101027303 (Michigan)	Primary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	5101027303 (Michigan)	Secondary

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. Wesley Hannah Shane 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 Address	Practice Location Address
Wesley Hannah Shane, DO 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (866) 989-7999	Wesley Hannah Shane, DO 100 Michigan St Ne, Grand Rapids, MI 49503-2560 Ph: (866) 989-7999

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Pediatrics Doctors in Grand Rapids, MI

Phillip Richter Paras, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne, Suite 300, Grand Rapids, MI 49503 Phone: 616-391-8810 Fax: 616-391-8897
Nathan Andrew Patterson, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc117, Grand Rapids, MI 49503 Phone: 616-267-0118
Stephanie-grace Abinoja Raymundo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
William B Stratbucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 1800, Grand Rapids, MI 49503 Phone: 616-391-7999
Caroline Buckley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-391-8810
Dr. Susan H Wakefield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 877 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-4465 Fax: 616-949-6191

Wesley Hannah Shane, DO - Medicare Pediatrics in Grand Rapids, MI