| Dr Shawn D Jones, MD | |
|
1 Edmundson Pl, Council Bluffs, IA 51503-4658 | |
| (712) 396-4310 | |
| (712) 396-7069 |
| Full Name | Dr Shawn D Jones |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1 Edmundson Pl, Council Bluffs, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952418592 | NPI | - | NPPES |
| 47068731712 | Medicaid | NE | |
| 1952418592 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36226 (Iowa) | Primary |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20040129000296 |
| Entity Name | Pottawattamie County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053881102 PECOS PAC ID: 9436495231 Enrollment ID: O20190116001175 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn D Jones, MD Po Box 3755, Omaha, NE 68103-0755 Ph: (402) 354-2100 | Dr Shawn D Jones, MD 1 Edmundson Pl, Council Bluffs, IA 51503-4658 Ph: (712) 396-4310 |
Philip Walter Meyer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite 314, Council Bluffs, IA 51503 Phone: 712-322-0253 Fax: 712-322-5273 | |
Enehomere I. Okoruwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3135 W Broadway, Council Bluffs, IA 51501 Phone: 712-328-9100 | |
Dr. Dennis Jones, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1326 Skyline Dr, Council Bluffs, IA 51503 Phone: 712-396-4310 | |
Scott B Bomgaars, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Ridge St, Suite 105, Council Bluffs, IA 51503 Phone: 712-396-5437 | |
Dr. Andrew Maxwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Edmundson Pl, Council Bluffs, IA 51503 Phone: 712-396-4310 Fax: 712-396-7069 |