| Jennifer Leigh Shaw, MD | |
|
37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140-7350 | |
| (480) 821-3600 | |
| (480) 857-2667 |
| Full Name | Jennifer Leigh Shaw |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 21 Years |
| Location | 37100 N Gantzel Rd Ste 106, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538308986 | NPI | - | NPPES |
| 435318 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 42127 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Ironwood Medical Center | Queen creek, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Momdoc Llc | 3375534282 | 63 |
| Entity Name | Momdoc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Leigh Shaw, MD Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600 | Jennifer Leigh Shaw, MD 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140-7350 Ph: (480) 821-3600 |
Vidalia M Butler-poku, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 270 E Hunt Hwy, 10, San Tan Valley, AZ 85143 Phone: 480-987-5500 Fax: 480-987-5507 | |
Lourdes E Melendez-oetinger, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 270 E Hunt Hwy Ste 10, San Tan Valley, AZ 85143 Phone: 480-987-5500 Fax: 480-987-5017 | |
Natasha E. Laird, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 37100 N Gantzel Rd, Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3616 Fax: 480-857-2667 | |
Douglas Mark Weber, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, Suite 106, San Tan Valley, AZ 85140 Phone: 480-814-1910 Fax: 480-857-2667 |