Erin Jacks Shaw, MD | |
685 Twelve Bridges Dr, Suite B, Lincoln, CA 95648-8689 | |
(916) 408-5915 | |
(916) 408-5406 |
Full Name | Erin Jacks Shaw |
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Gender | Female |
Speciality | Pediatrics |
Location | 685 Twelve Bridges Dr, Lincoln, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972579589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A87558 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Erin Jacks Shaw, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (855) 771-0335 | Erin Jacks Shaw, MD 685 Twelve Bridges Dr, Suite B, Lincoln, CA 95648-8689 Ph: (916) 408-5915 |
Dr. Shawn Michael Kreiner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-543-5500 | |
Leo L. Benjamine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Kathleen M. Fentzke, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Stacey A. Bowman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
Richard J. Don, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
A. Elise Gerstenberger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-784-4000 | |
April Joy Bariuan Boco, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Dresden Dr, Lincoln, CA 95648 Phone: 916-543-5500 |