| Philip T Shields, MD | |
| 
					465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670  | |
| (505) 988-3233 | |
| Not Available | 
| Full Name | Philip T Shields | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 465 Saint Michaels Dr, Santa Fe, New Mexico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1164516555 | NPI | - | NPPES | 
| 000N4748 | Medicaid | NM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | 200199 (New Mexico) | Primary | 
| Entity Name | Presbyterian Healthcare Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Philip T Shields, MD 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 Ph: (505) 988-3233  | Philip T Shields, MD 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 Ph: (505) 988-3233  | 
Philip Y Smucker, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505 Phone: 505-988-3233 Fax: 505-946-4261  | |
Hal L Hankinson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505 Phone: 505-988-3233 Fax: 505-988-3562  | |
Dr. Marshall Tredway Watson Jr., MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505 Phone: 505-988-3233  |