| Jerry R Shields, MD | |
|
1703 S. Meridian, Suite 101, Puyallup, WA 98371 | |
| (253) 848-3000 | |
| (253) 840-6514 |
| Full Name | Jerry R Shields |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 29 Years |
| Location | 1703 S. Meridian, Puyallup, Washington |
| 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 |
|---|---|---|---|
| 1720090699 | NPI | - | NPPES |
| 8280638 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | MD00039681 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sharpevision Pllc | 5496917791 | 9 |
| Grady M. Hughes | 8426946823 | 2 |
| Entity Name | Grady M. Hughes |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417097031 PECOS PAC ID: 8426946823 Enrollment ID: O20040308000869 |
| Entity Name | Cascade Eye & Skin Centers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033204938 PECOS PAC ID: 4486541554 Enrollment ID: O20040310000465 |
| Entity Name | Sharpevision Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164788279 PECOS PAC ID: 5496917791 Enrollment ID: O20200226000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry R Shields, MD 1703 S. Meridian, Suite 101, Puyallup, WA 98371 Ph: (253) 848-3000 | Jerry R Shields, MD 1703 S. Meridian, Suite 101, Puyallup, WA 98371 Ph: (253) 848-3000 |
Keith F Dahlhauser, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian, Suite 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
Rachael D Elrod, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1703 S Meridian, Suite 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 | |
Michael B Brush, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1007 39th Ave Se, Puyallup, WA 98374 Phone: 253-435-3200 | |
Dr. Aimee Nguyen Lam, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 100, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-845-8750 | |
Dr. Adam G Buchanan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-845-8750 | |
Dr. Travis C Frazier, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 | |
Roy J Park, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-840-6514 |