| Dr Corey A Shaw, DO | |
|
Psc 819 Box 4377, Fpo, AE 09645-0044 | |
| (349) 568-23431 | |
| Not Available |
| Full Name | Dr Corey A Shaw |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | Psc 819 Box 4377, Fpo, Armed Forces Europe |
| 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 |
|---|---|---|---|
| 1720066830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 302098 (New York) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0102203234 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 119 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160712002225 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20200124000220 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20200313001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Corey A Shaw, DO 150 Sunrise Hwy, Lindenhurst, NY 11757-2539 Ph: (346) 430-46423 | Dr Corey A Shaw, DO Psc 819 Box 4377, Fpo, AE 09645-0044 Ph: (349) 568-23431 |
Dr. Jonathan Paul Cutting, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Psc 819 Box 18-1, Fpo, AE 09645 Phone: 011-349-56823500 | |
Dr. Joshua Darius Nassiri, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Psc 836, Fpo, AE 09636 Phone: 617-320-2714 |