| Jeffrey E Shook, DPM | |
|
20 Hospital Dr, Logan, WV 25601-3452 | |
| (304) 831-1530 | |
| (304) 831-1527 |
| Full Name | Jeffrey E Shook |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 20 Hospital Dr, Logan, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346207487 | NPI | - | NPPES |
| P00787217 | Other | OH | RAILROAD MEDICARE |
| 0227678 | Medicaid | OH | |
| 310917085188 | Other | OH | OH MEDICAID CARESOURCE |
| 0227678 | Other | OH | OH MEDICAID MOLINA |
| 000000264924 | Other | OH MEDICAID UNISON | |
| 6420018000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00315 (West Virginia) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.002904 (Ohio) | Primary |
| Provider Name | The Cleveland Clinic Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey E Shook, DPM 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5890 | Jeffrey E Shook, DPM 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1530 |
Steve Scott Melek Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17 Main Ave, Professional Building, Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194 | |
Steve Scott Melek, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Rt 10, Triangle Addition Professional Bldg, Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194 | |
Dr. Jamie Leann Hall-jasper, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Main Ave, Logan, WV 25601 Phone: 304-896-5012 |