| Kayla Ortego Shipley, | |
|
300 Pasteur Dr, Alway Bldg., Room M121, Stanford, CA 94305-2200 | |
| (650) 725-9445 | |
| (650) 723-0121 |
| Full Name | Kayla Ortego Shipley |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 300 Pasteur Dr, Stanford, California |
| 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 |
|---|---|---|---|
| 1487098968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 303372 (Louisiana) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coolidge Emergency Group Llc | 4880846427 | 20 |
| Entity Name | Ambassador Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316030844 PECOS PAC ID: 9537168901 Enrollment ID: O20061212000516 |
| Entity Name | Coolidge Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801140934 PECOS PAC ID: 4880846427 Enrollment ID: O20121206000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Ortego Shipley, 25 Rio Robles E, #218, San Jose, CA 95134-1631 Ph: (337) 654-6053 | Kayla Ortego Shipley, 300 Pasteur Dr, Alway Bldg., Room M121, Stanford, CA 94305-2200 Ph: (650) 725-9445 |
Enoch Akuffo Obeng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Pierre-carole Tchamgoue Tchouapi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Timothy John Batchelor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Swaminatha V Mahadevan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Kelly Nicole Roszczynialski, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 | |
Graham Walker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Mc: 5500, Stanford, CA 94305 Phone: 650-723-4000 | |
Shawn Keiji Kaku, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 |