| Benjamin D Shadle, MD | |
|
3 Medical Plaza, Suite 200, Roseville, CA 95661 | |
| (916) 773-8750 | |
| (916) 773-7963 |
| Full Name | Benjamin D Shadle |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 3 Medical Plaza, Roseville, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316928070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A99595 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2136 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Entity Name | Surgical Affiliates Of California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932440781 PECOS PAC ID: 3375782667 Enrollment ID: O20130618000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin D Shadle, MD 10470 Old Placerville Road, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Benjamin D Shadle, MD 3 Medical Plaza, Suite 200, Roseville, CA 95661 Ph: (916) 773-8750 |
Dr. Joseph Nicholas Logarbo, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Shumaila Syed, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr Ste 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Dr. Jay C Owens, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Plaza Dr, Suite 130, Roseville, CA 95661 Phone: 916-773-8750 Fax: 916-773-8751 | |
Jonathan W. Wardell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 | |
Dr. Colton Reed Lynn, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000 | |
Dmitri V Gelfand, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Plaza Dr, #130, Roseville, CA 95661 Phone: 916-773-8750 | |
Dr. Thomas Joseph Curran, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Roseville, CA 95661 Phone: 916-784-4000 |