| Mary Alice Shepard, MD | |
|
2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | |
| (360) 418-6001 | |
| (130) 418-6008 |
| Full Name | Mary Alice Shepard |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 48 Years |
| Location | 2211 E Mill Plain Blvd, Vancouver, Washington |
| 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 |
|---|---|---|---|
| 1669485165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | WA MD00023639 (Washington) | Secondary |
| 207R00000X | Internal Medicine | MD00023639 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Washington | 0345139929 | 773 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Shepard, MD Po Box 31001-4114, Pasadena, CA 91110-0001 Ph: () - | Mary Alice Shepard, MD 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 Ph: (360) 418-6001 |
Kanuboddu Nagarjuna Reddy, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave Ste 220, Vancouver, WA 98664 Phone: 360-882-2778 | |
Phillip M Cullison Bonner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2211 Ne 139th St, Vancouver, WA 98686 Phone: 360-487-1000 | |
Louise M Schultz, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 | |
Marissa Krienke, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Ne 87th Ave Ste And240, Vancouver, WA 98664 Phone: 360-882-2778 | |
Morgan Bigelow, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2525 Ne 139th St Ste 140, Vancouver, WA 98686 Phone: 360-822-2778 | |
Joel David Mclarry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Suite 210, Vancouver, WA 98664 Phone: 360-882-2778 | |
Dr. Samuel Everett George, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19005 Se 34th St Bldg 3, Vancouver, WA 98683 Phone: 360-726-6720 Fax: 360-726-6729 |