Amy Wall Shore, MD | |
3445 Pch Hwy Ste 110, Torrance, CA 90505-6659 | |
(617) 686-2647 | |
Not Available |
Full Name | Amy Wall Shore |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 3445 Pch Hwy Ste 110, Torrance, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235305566 | NPI | - | NPPES |
132224 | Medicaid | AL | |
132231 | Medicaid | AL | |
051120731 | Other | AL | BCBS |
132222 | Medicaid | AL | |
051120732 | Other | AL | BCBS |
051120734 | Other | AL | BCBS |
051120729 | Other | AL | BCBS |
132226 | Medicaid | AL | |
01600227 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 226228 (Massachusetts) | Secondary |
207L00000X | Anesthesiology | 30993 (Alabama) | Primary |
207L00000X | Anesthesiology | A123437 (California) | Secondary |
Entity Name | Westside Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528381704 PECOS PAC ID: 2860684248 Enrollment ID: O20101004000677 |
Entity Name | Shore Mds Medical Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427491018 PECOS PAC ID: 8123250263 Enrollment ID: O20140403002129 |
Mailing Address | Practice Location Address |
---|---|
Amy Wall Shore, MD Po Box 4148, Torrance, CA 90510-4148 Ph: (310) 792-3914 | Amy Wall Shore, MD 3445 Pch Hwy Ste 110, Torrance, CA 90505-6659 Ph: (617) 686-2647 |
Vadim Tokhner, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1000 W. Carson Street, Dept. Of Anesthesiology, Box #10, Torrance, CA 90502 Phone: 424-306-8012 Fax: 310-534-1976 | |
Dr. Katrina Marie Von Kriegenbergh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3655 Lomita Blvd Ste 206, Torrance, CA 90505 Phone: 310-791-4980 Fax: 310-791-4989 | |
Nicholas J Mondek, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 310-540-7676 | |
Jeanette Kaye Oka, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3330 Lomita Blvd, Torrance, CA 90505 Phone: 310-325-9110 Fax: 310-784-8762 | |
Dwight Alan Wymore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4101 Torrance Blvd, Torrance, CA 90503 Phone: 310-540-7676 Fax: 310-540-1485 | |
Dr. Zakir Rangwala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3330 Lomita Blvd, Torrance, CA 90505 Phone: 310-704-9195 | |
Dr. Carlos Alberto Garcia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3330 Lomita Blvd, Torrance, CA 90505 Phone: 310-325-9110 Fax: 310-784-8777 |