| Daniel A Shields, MD | |
|
309 11th St, Carrollton, KY 41008-1435 | |
| (502) 732-4321 | |
| Not Available |
| Full Name | Daniel A Shields |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 309 11th St, Carrollton, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447240262 | NPI | - | NPPES |
| 64055684 | Medicaid | KY | |
| 200920790 | Medicaid | IN | |
| 1447240262 | Medicaid | KY | |
| 2351664 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25514 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 25514 (Kentucky) | Primary |
| Entity Name | St Elizabeth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
| Entity Name | Harrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386783868 PECOS PAC ID: 8628961018 Enrollment ID: O20040209000207 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Entity Name | Empact Midwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841801784 PECOS PAC ID: 9436577517 Enrollment ID: O20200922002897 |
| Entity Name | Western Healthcare Services Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770243842 PECOS PAC ID: 0941695936 Enrollment ID: O20220309001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Shields, MD Po Box 511, Dry Ridge, KY 41035-0511 Ph: (859) 824-5375 | Daniel A Shields, MD 309 11th St, Carrollton, KY 41008-1435 Ph: (502) 732-4321 |
Dr. Brent A. Madison, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 | |
Thomas J Schroeder, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 | |
Dr. Janos Katanics, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 |