| Garret T Shaw, MD | |
|
918 20th St, Gothenburg, NE 69138-1237 | |
| (308) 537-4066 | |
| (308) 537-3074 |
| Full Name | Garret T Shaw |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 918 20th St, Gothenburg, Nebraska |
| 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 |
|---|---|---|---|
| 1871566695 | NPI | - | NPPES |
| 10025024000 | Other | NE | MEDICAID RHC |
| 470426208 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21126 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Plains Home Health | Cozad, NE | Home health agency |
| Central Plains Hospice | Cozad, NE | Hospice |
| Gothenburg Memorial Hospital | Gothenburg, NE | Hospital |
| Cozad Community Hospital | Cozad, NE | Hospital |
| Hilltop Estates | Gothenburg, NE | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gothenburg Memorial Hospital | 6709832983 | 10 |
| Entity Name | Gothenburg Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922051531 PECOS PAC ID: 6709832983 Enrollment ID: O20050330001110 |
| Mailing Address | Practice Location Address |
|---|---|
| Garret T Shaw, MD 918 20th St, Gothenburg, NE 69138-1237 Ph: (308) 537-4066 | Garret T Shaw, MD 918 20th St, Gothenburg, NE 69138-1237 Ph: (308) 537-4066 |
Dr. Carol L Shackleton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Kayla S Knauss, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 918 20th St, Gothenburg, NE 69138 Phone: 308-537-4066 Fax: 308-537-4038 | |
Dr. Craig David Bartruff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 10th St, Gothenburg, NE 69138 Phone: 308-537-3674 Fax: 308-537-3675 |