| Emma Jean Shay, | |
|
1950 Mountain View Ave, Longmont, CO 80501-3129 | |
| (303) 651-5000 | |
| (303) 306-7753 |
| Full Name | Emma Jean Shay |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1950 Mountain View Ave, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356593610 | NPI | - | NPPES |
| 99721066 | Medicaid | CA | |
| A001030353 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0002583 (Colorado) | Primary |
| 363AM0700X | Physician Assistant - Medical | 2583 (Colorado) | Secondary |
| Entity Name | Emergency Service Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326097668 PECOS PAC ID: 1557255882 Enrollment ID: O20040209001037 |
| Entity Name | Emergency Physicians of the Rockies, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Jean Shay, Po Box 1175, Englewood, CO 80150-1175 Ph: (303) 306-7783 | Emma Jean Shay, 1950 Mountain View Ave, Longmont, CO 80501-3129 Ph: (303) 651-5000 |
Danielle Pohlit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-718-3900 Fax: 720-718-0999 |
Camille Gannon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2017 100 Yearparty Ct # 80504, Longmont, CO 80504 Phone: 303-848-3800 |
John P Hundley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Peak Ave, Longmont, CO 80504 Phone: 720-718-8990 Fax: 720-718-8999 |
Carter J Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 303-772-9317 |
Jason D Schmidthuber, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1079 S Hover St Ste 200, Longmont, CO 80501 Phone: 303-645-4241 Fax: 720-790-7053 |
Page Marie Sherrill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 E Rogers Rd, Longmont, CO 80501 Phone: 303-697-2583 |
Susan Graham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1308 Vivian St, Longmont, CO 80501 Phone: 800-628-7828 |