Shane R Fancher (NPI# 1427055433, PAC ID# 8022045616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1427055433 |
| PAC ID by PECOS | 8022045616 |
| Professional Enrollment ID | I20070921000797 |
| Full Name | Shane R Fancher |
| Organization Legal Name | JACKSONVILLE CRNAS INC |
| Address |
1600 W Walnut Jacksonville IL 62650-1199 |
| Phone Number | 2172459541 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY, PAIN MANAGEMENT |
| Group Practice PAC ID | 2961681523 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140166 | ST MARYS HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| 140135 | DECATUR MEMORIAL HOSPITAL |
| 141341 | PANA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2174642966 | CENTRAL ILLINOIS ASSOCIATES LTD |
| 1800 E Lake Shore Dr, Suite 2500, Decatur, IL 62521-3810 | 2174645839 | PAIN CONSULTANTS OF CENTRAL ILLINOIS LLC |
| 1600 W Walnut, Jacksonville, IL 62650-1199 | 2172459541 | JACKSONVILLE CRNAS INC |
| Organization Legal Name | JACKSONVILLE CRNAS INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Newman | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Matthew J Bednarchik | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Tamara C Mcdonald | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| John M Furry | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Cody P Dykes | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jon D Gregory | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Obinna O Orji | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jarah Nicole Mcadams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Rachelle Dawn Williams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| David C Tonry | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Street Address |
1600 W WALNUT |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-1199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Newman | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Matthew J Bednarchik | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Tamara C Mcdonald | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| John M Furry | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Cody P Dykes | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jon D Gregory | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Obinna O Orji | Anesthesiology | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Jarah Nicole Mcadams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Rachelle Dawn Williams | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| David C Tonry | Certified Registered Nurse Anesthetist (crna) | Jacksonville Crnas Inc | 1600 W Walnut, Jacksonville, IL 62650-1199 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | JACKSONVILLE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Shane R Fancher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.