| Callie E Shaffer, MD | |
|
140 Newcomb Ave, Mount Vernon, KY 40456-2728 | |
| (606) 256-4148 | |
| (606) 256-7785 |
| Full Name | Callie E Shaffer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 140 Newcomb Ave, Mount Vernon, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992811046 | NPI | - | NPPES |
| 27-0496454 | Other | KY | TAX ID (EFFECT. 01/01/10) |
| 637591 | Other | KY | ANTHEM PIN (EFFECT. 01/01/10) |
| 7100081050 | Medicaid | KY | |
| 000000337528 | Other | KY | ANTHEM BC/BS |
| 1217376 | Other | KY | CHA |
| 38737 | Other | KY | MEDICAL LICENSE NUMBER |
| 64087299 | Medicaid | KY | |
| 000000475691 | Other | KY | DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 38737 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Callie E Shaffer, MD Po Box 1525, Mount Vernon, KY 40456-1525 Ph: (606) 256-4148 | Callie E Shaffer, MD 140 Newcomb Ave, Mount Vernon, KY 40456-2728 Ph: (606) 256-4148 |
Sarah Catherine Oliver, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-4148 Fax: 606-256-7785 | |
Dr. Hannah Renee Bullock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-4148 Fax: 606-256-7785 |