| Mr Stephen W Shanks, DO | |
|
800 Saguaro Trl, Farmington, NM 87401-9632 | |
| (505) 498-6000 | |
| Not Available |
| Full Name | Mr Stephen W Shanks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 800 Saguaro Trl, Farmington, New Mexico |
| 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 |
|---|---|---|---|
| 1114346129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2015-01973 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | DO2022-0050 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Angels Home Health, Inc | Farmington, NM | Home health agency |
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Northern Navajo Medical Center | Shiprock, NM | Hospital |
| San Juan Center | Farmington, NM | Nursing home |
| Welbrook Senior Living, Llc | Farmington, NM | Nursing home |
| Life Care Center Of Farmington | Farmington, NM | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cura Healthcare | 5799143103 | 84 |
| Dhhs Phs Naihs Shiprock Hospital | 0749193837 | 151 |
| Entity Name | New Mexico Pac Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801325634 PECOS PAC ID: 3072889211 Enrollment ID: O20171016003197 |
| Entity Name | Nm Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20180814000050 |
| Entity Name | Cs Pacs 3 West Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073378238 PECOS PAC ID: 8921546797 Enrollment ID: O20240813000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen W Shanks, DO 1643 Nw 136th Ave, Bldg H Suite 100 Msc 11607-0004, Sunrise, FL 33323-2857 Ph: () - | Mr Stephen W Shanks, DO 800 Saguaro Trl, Farmington, NM 87401-9632 Ph: (505) 498-6000 |
Robert C Rhien, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4820 E Main St, Farmington, NM 87402 Phone: 505-609-6495 Fax: 505-324-0504 | |
George Lee Payne, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 622 W Maple St, Suite B, Farmington, NM 87401 Phone: 505-327-4867 Fax: 505-327-5355 | |
Dr. Robert S Young Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4820 E Main St, Farmington, NM 87402 Phone: 505-609-6495 Fax: 505-609-6496 | |
Mark Himes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 622 W Maple St, Ste B, Farmington, NM 87401 Phone: 505-327-4867 | |
Dr. Matthew Dekay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2130 Farmington Ave, Farmington, NM 87401 Phone: 505-325-2323 | |
Dr. Margaret L Cassidy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 N Locke Ave, Farmington, NM 87401 Phone: 505-324-1100 Fax: 505-324-1117 |