| Mark Cal Shaw, MD | |
|
402 Second St., Bernice, LA 71222 | |
| (318) 285-9066 | |
| (318) 285-9065 |
| Full Name | Mark Cal Shaw |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 402 Second St., Bernice, Louisiana |
| 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 |
|---|---|---|---|
| 1881644938 | NPI | - | NPPES |
| 1495611 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD023225 (Louisiana) | Primary |
| 207P00000X | Emergency Medicine | M9001 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acs Primary Care Physicians Southwest Pa | 1850204363 | 194 |
| Ess Of Nacogdoches Llc | 3375821630 | 19 |
| Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 193 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Angelina Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518397298 PECOS PAC ID: 5395973564 Enrollment ID: O20140115000579 |
| Entity Name | Ess Of Nacogdoches Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780139956 PECOS PAC ID: 3375821630 Enrollment ID: O20161021000335 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Bonita Creek Emergency Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902555485 PECOS PAC ID: 0345623872 Enrollment ID: O20220817000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Cal Shaw, MD 741 Hidden Valley Dr., Garrison, TX 75946 Ph: (936) 715-9869 | Mark Cal Shaw, MD 402 Second St., Bernice, LA 71222 Ph: (318) 285-9066 |
Robert Brian Harris, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 402 Second St., Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 | |
Lois A. Evans, FNP,C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 402 Second Ave., Bernice, LA 71222 Phone: 318-285-9066 Fax: 318-285-9065 |