Individual ProviderShane HamonAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address8311 Ewing Halsell Dr, San Antonio, TX 78229-3741(210) 562-8000PECOS EnrollmentBased on the most recent information from CMS, provider Shane Hamon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1518907849Provider TypeIndividualFull NameHamon, ShaneCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/7/2006Last Updated6/6/2025Contact InformationPractice LocationPractice Address8311 Ewing Halsell Dr, San Antonio, TX 78229-3741Phone(210) 562-8000FaxUnlisted FaxMailing LocationMailing Address7703 Floyd Curl Dr, San Antonio, TX 78229-3901PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseM3569TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseMD60240914WashingtonProvider IdentifiersIDDescriptionIssuerIDP01314802DescriptionOtherIssuerRR MEDICAREWashingtonID1518907849DescriptionMedicaidIssuerUnlistedWashington