| Jamal Shillingford, | |
|
2 Bon Air Rd Ste 120, Larkspur, CA 94939-1142 | |
| (415) 927-5300 | |
| Not Available |
| Full Name | Jamal Shillingford |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 12 Years |
| Location | 2 Bon Air Rd Ste 120, Larkspur, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063855567 | NPI | - | NPPES |
| 300013826 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Joseph Laratta Md Spine Surgeon Llc | 7517398936 | 2 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Joseph Laratta Md Spine Surgeon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073133054 PECOS PAC ID: 7517398936 Enrollment ID: O20200518003098 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamal Shillingford, Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 272-5063 | Jamal Shillingford, 2 Bon Air Rd Ste 120, Larkspur, CA 94939-1142 Ph: (415) 927-5300 |
Dr. Daniel Jordan Solomon, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 | |
Dr. Brian Su, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Bon Air Rd, Suite 120, Larkspur, CA 94939 Phone: 415-925-8200 Fax: 415-464-5480 | |
Dr. David H. Goltz, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. John C. Keohane, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. Michael S. Stock, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 | |
Dr. Michael J. Oechsel, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 18 Bon Air Rd, Larkspur, CA 94939 Phone: 415-927-5300 Fax: 415-927-6860 |