| Paul Tanner Shaffer, | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (312) 567-2000 | |
| (312) 567-6073 |
| Full Name | Paul Tanner Shaffer |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 7 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| 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 |
|---|---|---|---|
| 1528529187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 135001034 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Skyline Hospital | White salmon, WA | Hospital |
| Klickitat Valley Hospital | Goldendale, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cascade Orthopedics And Sports Medicine Center, P.c. | 4486640695 | 2 |
| Provider Name | Cascade Orthopedics & Sports Medicine Center, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841366010 PECOS PAC ID: 4486640695 Enrollment ID: O20040422001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Tanner Shaffer, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (312) 567-2000 | Paul Tanner Shaffer, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (312) 567-2000 |
Dr. Bryce Andrew Paschold, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 | |
Francis Rottier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S First Ave, Maguire Center, Room 1700, Maywood, IL 60153 Phone: 708-216-9000 Fax: 708-216-1225 | |
Elizabeth Carole Rutter, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 630-781-4700 | |
Morgan Sierra Eso, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 951-520-3474 | |
Jill Patel, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 | |
Dr. Katherine Elizabeth Dux, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4254 Fax: 708-216-1225 | |
Dr. Amer Jandali Rifai, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 |