| Dr Douglas A Shields, MD | |
|
125 Hospital Dr, Spruce Pine, NC 28777-3035 | |
| (828) 765-4201 | |
| Not Available |
| Full Name | Dr Douglas A Shields |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 36 Years |
| Location | 125 Hospital Dr, Spruce Pine, North Carolina |
| 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 |
|---|---|---|---|
| 1891717815 | NPI | - | NPPES |
| P00384358 | Other | KY | MEDICARE RAILROAD |
| 204445209 | Medicaid | MO | |
| 5630460000 | Medicaid | WV | |
| 010210364 | Medicaid | VA | |
| 00125794 | Medicaid | MS | |
| 3813512 | Medicaid | TN | |
| P0029524 | Other | WV | MEDICARE RAILROAD |
| 162345001 | Medicaid | AR | |
| 3813511 | Medicaid | TN | |
| 64338304 | Medicaid | KY | |
| 50007474 | Other | KY | PASSPORT HEALTH |
| P00378743 | Other | AR | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E4736 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charles A Cannon Jr Memorial Hospital | Linville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wake Forest Emergency Providers | 7012819816 | 310 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Jefferson Emergency Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720495336 PECOS PAC ID: 4880813047 Enrollment ID: O20140919002281 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas A Shields, MD Po Box 98, Jonas Ridge, NC 28641-0098 Ph: (828) 385-0915 | Dr Douglas A Shields, MD 125 Hospital Dr, Spruce Pine, NC 28777-3035 Ph: (828) 765-4201 |
David Arthur Cort, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Hospital Drive, Spruce Pine, NC 28777 Phone: 828-765-4201 Fax: 828-765-0824 | |
Richard Lee Fireman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Hospital Drive, Spruce Pine, NC 28777 Phone: 828-765-4201 Fax: 828-765-0824 | |
Dr. Christopher E Mullins, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777 Phone: 828-765-4201 | |
David Mullins, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Spruce Pine, NC 28777 Phone: 828-766-3755 Fax: 828-766-3759 |