Kyle John Shaver, MD | |
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
(541) 548-8131 | |
(541) 460-4028 |
Full Name | Kyle John Shaver |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1253 Nw Canal Blvd, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639241763 | NPI | - | NPPES |
055542005 | Other | BCBS | |
057237 | Medicaid | OR | |
930021553 | Other | RAILROAD | |
56097 | Other | WA L & I | |
C98636 | Other | PROVIDENCE | |
C98636 | Other | GROUP HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD27338 (Oregon) | Primary |
Entity Name | St Charles Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
Entity Name | Emergency Medical Associates Of Mcminnville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629022876 PECOS PAC ID: 3870585920 Enrollment ID: O20040331000355 |
Mailing Address | Practice Location Address |
---|---|
Kyle John Shaver, MD Po Box 6095, Bend, OR 97708-6095 Ph: (541) 706-5922 | Kyle John Shaver, MD 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 548-8131 |
Catherine Elizabeth Fairgrieve Appel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Glynda Gaye Crabtree, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 253-838-6418 | |
Andrew Stokes Kleaveland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-460-4028 | |
Mindy Lipsitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Angus Yatman Ng, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Jake Metolius Waits, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 | |
Matthew M Eschelbach, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1253 Nw Canal Blvd, Redmond, OR 97756 Phone: 541-548-8131 Fax: 541-526-6608 |