| Dr Dean Woodrow Shandy, DO | |
|
98 Poplar St, Blackfoot, ID 83221-1799 | |
| (208) 782-2991 | |
| (208) 785-3876 |
| Full Name | Dr Dean Woodrow Shandy |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 9 Years |
| Location | 98 Poplar St, Blackfoot, Idaho |
| 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 |
|---|---|---|---|
| 1356786198 | NPI | - | NPPES |
| 16721C | Other | WY | WY STATE LIC |
| MED-PHYS-COM-LIC-135 | Other | MT | MT STATE LICENSE |
| 103243408 | Medicaid | PA | |
| O-1419 | Other | ID | ID STATE MED LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | O-1419 (Idaho) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | O-1419 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bmh Inc | 8426149758 | 135 |
| Bingham Memorial Hospital | 8426955014 | 69 |
| Entity Name | Bmh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255539193 PECOS PAC ID: 8426149758 Enrollment ID: O20071018000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dean Woodrow Shandy, DO 98 Poplar St, Blackfoot, ID 83221-1799 Ph: (208) 782-2991 | Dr Dean Woodrow Shandy, DO 98 Poplar St, Blackfoot, ID 83221-1799 Ph: (208) 782-2991 |
Brooke Brown, APRN-CNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 370 N Meridian St Ste A, Blackfoot, ID 83221 Phone: 208-851-4315 | |
Dr. Kelly Page Palmer, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 East Alice Street, Blackfoot, ID 83221 Phone: 208-785-8517 Fax: 208-785-8516 | |
Andrew L Olnes, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 700 E Alice St, Blackfoot, ID 83221 Phone: 208-785-1200 Fax: 208-785-8516 | |
Jdee Ryan Wilson, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 E Alice St, State Hospital South, Blackfoot, ID 83221 Phone: 208-785-1200 Fax: 208-785-8516 | |
Eunice Zhang Stallman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 E Alice Street, Blackfoot, ID 83221 Phone: 425-233-5749 |