| Patrick Keenan Shanley, PA-C | |
|
1219 Gusdorf Rd Ste A, Taos, NM 87571-6499 | |
| (505) 758-0009 | |
| (505) 758-8736 |
| Full Name | Patrick Keenan Shanley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 1219 Gusdorf Rd Ste A, Taos, 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 |
|---|---|---|---|
| 1033386420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA2008-0045 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Espanola Hospital | Espanola, NM | Hospital |
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1390 |
| 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 |
|---|---|
| Patrick Keenan Shanley, PA-C 1397 Weimer Rd, Taos, NM 87571-6253 Ph: (505) 758-0009 | Patrick Keenan Shanley, PA-C 1219 Gusdorf Rd Ste A, Taos, NM 87571-6499 Ph: (505) 758-0009 |
Charlton Morgan Weyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1393 Weimer Rd, Taos, NM 87571 Phone: 575-758-8651 |
Dan F Thor, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1397 Weimer Rd, Taos, NM 87571 Phone: 575-737-3397 |
Brittney Coe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Paseo Del Pueblo Sur Ste 125, Taos, NM 87571 Phone: 575-751-7430 |
Ms. Elizabeth Anne Martinez, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 Weimer Rd, Taos, NM 87571 Phone: 505-758-2073 Fax: 505-751-3031 |
Charles Edward Bonfanti, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 630 Paseo Del Pueblo Sur, Suite 150, Taos, NM 87571 Phone: 575-758-3005 Fax: 575-758-7010 |
Christa Danell Castro, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1397 Weimer Road, Taos, NM 87571 Phone: 505-751-5835 |
John P Mahony, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 330 Paseo Del Pueblo Sur Ste C, Taos, NM 87571 Phone: 575-758-1414 Fax: 575-758-1474 |