| Dr Scott L Shields Pc | |
|
524 N Van Buren, Enid, OK 73703-4455 | |
| (580) 237-3338 | |
| (580) 237-3399 |
| Full Name | Dr Scott L Shields Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 524 N Van Buren, Enid, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194848606 | NPI | - | NPPES |
| 242801356 | Medicaid | OK | |
| 4800337242 | Other | OK | RAILROAD MEDICARE |
| 248801356001 | Other | OK | BLUE CROSS BLUE SHIELD |
| OK 189 | Other | OK | STATE LICENSURE |
| 175470500 | Other | OK | U.S. DEPT. OF LABOR |
| 100779730A | Medicaid | OK | |
| 1437133436 | Other | OK | PERSONAL NPI NUMBER |
| 1754470500 | Other | OK | WORKERS COMP. |
| 243726302 | Other | OK | MEDICARE GRP MEMBER PTAN |
| 1194848606 | Other | OK | GROUP NPI |
| 10885619 | Other | OK | CAQH |
| 200129000A | Other | OK | MEDICAID DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 189 (Oklahoma) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 189 (Oklahoma) | Secondary |
| Provider Name | Scott L Shields |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437133436 PECOS PAC ID: 1052397833 Enrollment ID: I20040624001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott L Shields Pc 524 N Van Buren, Enid, OK 73703-4455 Ph: (580) 237-3338 | Dr Scott L Shields Pc 524 N Van Buren, Enid, OK 73703-4455 Ph: (580) 237-3338 |
Dr. James Daniel Stough, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 314 E Owen K Garriott Rd, Enid, OK 73701 Phone: 580-249-3929 Fax: 580-234-3301 | |
Dr. Brooke Kelley Stough, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 314 E Owen K Garriott Rd, Enid, OK 73701 Phone: 580-249-3929 Fax: 580-234-3301 | |
Ankle And Foot Clinic Of Enid, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 915 E Garriott Rd, Suite J, Enid, OK 73701 Phone: 580-297-5184 Fax: 580-297-5187 | |
Dr. Michael Hugh Martin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2501 N Van Buren St, Enid, OK 73703 Phone: 580-233-8220 Fax: 580-242-3909 | |
Dr. Scott Lamar Shields, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 524 N Van Buren, Enid, OK 73703 Phone: 580-237-3338 Fax: 580-237-3399 | |
Brooke K Stough Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1113 Winchester Ave, Enid, OK 73703 Phone: 405-210-8071 |