| Dr Shawn Michael Anderson, MD | |
|
700 S Main St, Grove, OK 74344-2841 | |
| (918) 786-2243 | |
| (918) 787-3643 |
| Full Name | Dr Shawn Michael Anderson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 700 S Main St, Grove, 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 |
|---|---|---|---|
| 1598725111 | NPI | - | NPPES |
| 100114040A | Medicaid | OK | |
| 200264400A | Medicaid | OK | |
| 207446204 | Medicaid | MO | |
| 200059690A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 22018 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | E-14312 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 22018 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Health Fulton County Hospital | Salem, AR | Hospital |
| Mercy Hospital Booneville | Booneville, AR | Hospital |
| Mercy Hospital Paris | Paris, AR | Hospital |
| Mercy Hospital Ozark | Ozark, AR | Hospital |
| Baxter Health | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Paris | 0244135705 | 8 |
| Baxter Health Fulton County Hospital | 0749716876 | 6 |
| Entity Name | Mercy Hospital Waldron |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137134 PECOS PAC ID: 5597658005 Enrollment ID: O20040211000825 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642767 PECOS PAC ID: 3678467412 Enrollment ID: O20040211001144 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275504128 PECOS PAC ID: 3678467412 Enrollment ID: O20040428001328 |
| Entity Name | Mercy Hospital Waldron |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912978875 PECOS PAC ID: 5597658005 Enrollment ID: O20061104000294 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760453633 PECOS PAC ID: 0244135705 Enrollment ID: O20061104000304 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992133714 PECOS PAC ID: 1951530385 Enrollment ID: O20140312001275 |
| Entity Name | Hospital Care Consultants of Fordyce LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess of Fordyce LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490 |
| Entity Name | Baxter Health Fulton County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841038825 PECOS PAC ID: 0749716876 Enrollment ID: O20241212000038 |
| Entity Name | Baxter Health Fulton County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376391177 PECOS PAC ID: 0749716876 Enrollment ID: O20250228003229 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn Michael Anderson, MD 700 S Main St, Grove, OK 74344-2841 Ph: (918) 787-4200 | Dr Shawn Michael Anderson, MD 700 S Main St, Grove, OK 74344-2841 Ph: (918) 786-2243 |
Luke R Leming, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E 18th St, Grove, OK 74344 Phone: 918-786-2243 Fax: 918-787-3403 |
Zachary T Bechtol, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1121 Neo Loop Ste A, Grove, OK 74344 Phone: 918-786-4664 Fax: 918-786-4256 |
Renee Jean Russell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Neo Loop, Grove, OK 74344 Phone: 918-786-3100 Fax: 918-786-3108 |
Dr. Phillip Scott Williams, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 13th St Ste H, Grove, OK 74344 Phone: 918-786-6228 Fax: 918-786-3724 |
Dr. Kyle J Schauf, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 13th St, Suite G, Grove, OK 74344 Phone: 918-786-9009 Fax: 918-786-3724 |
Jacob Hostetler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4602 Us Highway 59, Grove, OK 74344 Phone: 918-877-1211 Fax: 918-877-1216 |
Daniel Lee Nicoll, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 601 E 13th St, Suite C, Grove, OK 74344 Phone: 918-786-7878 Fax: 918-786-7884 |