| Dr Charles Stephen Shaffer, MD | |
|
110 7th St W, Park Rapids, MN 56470-1872 | |
| (218) 699-3121 | |
| Not Available |
| Full Name | Dr Charles Stephen Shaffer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 110 7th St W, Park Rapids, Minnesota |
| 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 |
|---|---|---|---|
| 1235450982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 60110 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 60110 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Burnett Medical Center | Grantsburg, WI | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| St Josephs Area Health Services | Park rapids, MN | Hospital |
| Burnett Medical Center Inc | Grantsburg, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Burnett Medical Center Inc | 2163314931 | 20 |
| St. Croix Tribal Council | 1153369350 | 7 |
| Entity Name | Burnett Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356499784 PECOS PAC ID: 2163314931 Enrollment ID: O20040326000457 |
| Entity Name | St. Croix Tribal Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831170091 PECOS PAC ID: 1153369350 Enrollment ID: O20050419000754 |
| Entity Name | Burnett Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225191687 PECOS PAC ID: 2163314931 Enrollment ID: O20120110000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Stephen Shaffer, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: Not Available | Dr Charles Stephen Shaffer, MD 110 7th St W, Park Rapids, MN 56470-1872 Ph: (218) 699-3121 |
Michele Thieman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |
Shane D Nygard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 |
Todd M Officer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |
Anthony Hacker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3423 |
Bradley A Refsland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |
Dr. Kavya Koppula, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 |
Dr. Maurice William Spangler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470 Phone: 218-732-3311 |