| Angela C Shaw, DO | |
|
1300 E Centennial Dr, Pittsburg, KS 66762-6650 | |
| (620) 230-0044 | |
| (620) 230-0543 |
| Full Name | Angela C Shaw |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 26 Years |
| Location | 1300 E Centennial Dr, Pittsburg, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801993951 | NPI | - | NPPES |
| 200267370A | Medicaid | KS | |
| 200052810A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0530788 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 208 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela C Shaw, DO 1 Mt Carmel Way, Pittsburg, KS 66762-7587 Ph: (620) 230-0044 | Angela C Shaw, DO 1300 E Centennial Dr, Pittsburg, KS 66762-6650 Ph: (620) 230-0044 |
Dr. William A Moore, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 | |
Victoria A. Shirley, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-230-0044 Fax: 620-230-0543 | |
Gary A. Grimaldi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2701 S. Rouse, Ste. A, Pittsburg, KS 66762 Phone: 620-235-7605 Fax: 620-231-0081 | |
Dr. Michael Sean Fenech, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-230-0044 Fax: 620-230-0543 | |
Dennis G. Higginbotham, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-230-0044 Fax: 620-230-0543 | |
Kari Elizabeth Hamlin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Centennial Dr, Pittsburg, KS 66762 Phone: 620-230-0044 |