| Dr Muhammad Asghar Ali Shah, MD | |
|
7487 S State Road 121, Macclenny, FL 32063-5451 | |
| (904) 259-6211 | |
| (904) 259-7104 |
| Full Name | Dr Muhammad Asghar Ali Shah |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7487 S State Road 121, Macclenny, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538108410 | NPI | - | NPPES |
| 024663 | Other | ND | BCBS ND PROVIDER NUMBER |
| 054519 | Medicaid | ND | |
| 001391400 | Medicaid | FL | |
| 501Y3SH | Other | ND | BCBS MN PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9655 (North Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ACN298 (Florida) | Primary |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Muhammad Asghar Ali Shah, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 | Dr Muhammad Asghar Ali Shah, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 |
Mr. James Timothy Damiani, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 990-425-9621 Fax: 904-259-7104 | |
Mr. Toribio M Duhaylungsod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Sergio M. Arcey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Randly Lysander Woods, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Dr. Judith Hallstrom, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Olga Ines Arias, D. O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 |