| Dr Shane Marshall, DO | |
|
4813 S 187th East Ave, Tulsa, OK 74134-7203 | |
| (208) 371-5536 | |
| Not Available |
| Full Name | Dr Shane Marshall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 4813 S 187th East Ave, Tulsa, Oklahoma |
| 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 |
|---|---|---|---|
| 1073819314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 4925 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | DO184177 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811357023 PECOS PAC ID: 6608056171 Enrollment ID: O20160803003292 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Marshall, DO 4813 S 187th East Ave, Tulsa, OK 74134-7203 Ph: (208) 371-5536 | Dr Shane Marshall, DO 4813 S 187th East Ave, Tulsa, OK 74134-7203 Ph: (208) 371-5536 |
Hoi Y Chan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-6161 | |
Dr. Cory Brit Kebert, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1717 S Utica Ave Ste A, Tulsa, OK 74104 Phone: 981-748-7557 Fax: 918-748-7514 | |
Mr. Michael Daniel Figueiredo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 | |
Dr. Julie Christa Dodson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-579-1000 | |
Steven L. Nussbaum, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9716 Riverside Parkway, Suite 100, Tulsa, OK 74137 Phone: 918-299-4333 Fax: 918-299-4330 | |
Dr. Stephen Hodges Thomas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4502 E 41st St, Tulsa, OK 74135 Phone: 918-660-3831 Fax: 918-660-3821 | |
Eric Brady Woolley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 S Utica Ave, Tulsa, OK 74104 Phone: 918-949-1884 |