| Gregory Shank, MD | |
|
600 Ranch Rd, Reedsport, OR 97467-1720 | |
| (541) 271-2171 | |
| Not Available |
| Full Name | Gregory Shank |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 600 Ranch Rd, Reedsport, Oregon |
| 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 |
|---|---|---|---|
| 1659674596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD153010 (Oregon) | Primary |
| 208600000X | Surgery | FS2238853 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lower Umpqua Hospital District | Reedsport, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lower Umpqua Hospital District | 6800703562 | 36 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Lower Umpqua Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003874819 PECOS PAC ID: 6800703562 Enrollment ID: O20040212000228 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20061104000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Shank, MD 600 Ranch Rd, Reedsport, OR 97467-1720 Ph: () - | Gregory Shank, MD 600 Ranch Rd, Reedsport, OR 97467-1720 Ph: (541) 271-2171 |
Mr. Kenneth Lee Lawson, MD Surgery Medicare: Medicare Enrolled Practice Location: 385 Ranch Road, Reedsport, OR 97467 Phone: 541-271-2119 Fax: 541-271-6344 |