Colette Shaw, MD | |
111 S 11th St, Ste 3390, Philadelphia, PA 19107-4824 | |
(215) 955-6226 | |
(215) 923-1562 |
Full Name | Colette Shaw |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 111 S 11th St, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1780810986 | NPI | - | NPPES |
102615625 | Medicaid | PA | |
0266841 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | MD442733 (Pennsylvania) | Primary |
174400000X | Specialist | MD442733 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Hospital | Atlanta, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of Atlanta Pa | 4486647435 | 34 |
Entity Name | Radiology Associates Of Atlanta Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528043718 PECOS PAC ID: 4486647435 Enrollment ID: O20040406000255 |
Mailing Address | Practice Location Address |
---|---|
Colette Shaw, MD 111 S 11th St, Ste 3390, Philadelphia, PA 19107-4824 Ph: (215) 955-6226 | Colette Shaw, MD 111 S 11th St, Ste 3390, Philadelphia, PA 19107-4824 Ph: (215) 955-6226 |
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389 | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011 | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562 | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005 | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627 |