| Dr Kerry Eugene Shaver, MD | |
|
2314 S Range Ave, Denham Springs, LA 70726-5216 | |
| (225) 480-4080 | |
| (866) 751-0881 |
| Full Name | Dr Kerry Eugene Shaver |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 2314 S Range Ave, Denham Springs, Louisiana |
| 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 |
|---|---|---|---|
| 1285805952 | NPI | - | NPPES |
| P01169638 | Other | LA | RAILROAD MEDICARE |
| 1500640 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 204575 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care La Pc | 1951712280 | 41 |
| Entity Name | Thibodaux Regional Network Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
| Entity Name | Centerwell Senior Primary Care La Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760005136 PECOS PAC ID: 1951712280 Enrollment ID: O20210217000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry Eugene Shaver, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Dr Kerry Eugene Shaver, MD 2314 S Range Ave, Denham Springs, LA 70726-5216 Ph: (225) 480-4080 |
Victor H Chou, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 31985 La Highway 16, Denham Springs, LA 70726 Phone: 225-791-8800 | |
Dr. Shana Marie Hart, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 311 Veterans Blvd, Suite B, Denham Springs, LA 70726 Phone: 225-665-4554 Fax: 225-665-6995 | |
Ted P Kemp, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 Veterans Blvd, Denham Springs, LA 70726 Phone: 225-667-5110 Fax: 225-667-9303 |