| Jonathan Lane Shepard, PA-C | |
|
1413 N Mildred Rd, Cortez, CO 81321-2258 | |
| (970) 564-1037 | |
| (970) 564-1041 |
| Full Name | Jonathan Lane Shepard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 1413 N Mildred Rd, Cortez, Colorado |
| 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 |
|---|---|---|---|
| 1205174174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0004608 (Colorado) | Primary |
| 363A00000X | Physician Assistant | (Connecticut) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Health System Inc | 5890699326 | 44 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Lane Shepard, PA-C 1413 N Mildred Rd, Cortez, CO 81321-2258 Ph: () - | Jonathan Lane Shepard, PA-C 1413 N Mildred Rd, Cortez, CO 81321-2258 Ph: (970) 564-1037 |
Crysta Connell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1413 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-1037 Fax: 970-564-1041 | |
Shawn Palmer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Caitlin Mooney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-8664 Fax: 970-564-1134 | |
Mr. Gary Wayne Buck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-565-7946 Fax: 970-565-9005 | |
Leanne Irene Buck, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 20 W North St, Cortez, CO 81321 Phone: 970-565-7011 Fax: 970-565-3277 | |
Kay Christian, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 |