Courtney Shockley, MD | |
1806 W Lincoln Ave, Yakima, WA 98902-2473 | |
(509) 452-4520 | |
(509) 452-5224 |
Full Name | Courtney Shockley |
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Gender | Female |
Speciality | Pediatrics |
Location | 1806 W Lincoln Ave, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558656314 | NPI | - | NPPES |
2047300 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60578513 (Washington) | Primary |
Entity Name | Community Health Of Central Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598764920 PECOS PAC ID: 4183536931 Enrollment ID: O20040414000807 |
Mailing Address | Practice Location Address |
---|---|
Courtney Shockley, MD 501 S 5th Ave, Yakima, WA 98902-3550 Ph: (509) 494-6700 | Courtney Shockley, MD 1806 W Lincoln Ave, Yakima, WA 98902-2473 Ph: (509) 452-4520 |
Stephen J Pearson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1806 W Lincoln Ave, Yakima, WA 98902 Phone: 509-452-4520 Fax: 509-452-5224 | |
Dr. Elizabeth Lee Engelhardt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8026 Fax: 509-577-5061 | |
Diane Liebe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3801 Kern Way, Yakima, WA 98902 Phone: 509-574-3220 Fax: 509-574-3211 | |
Anna L Snyder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 402 S 12th Ave, Yakima, WA 98902 Phone: 509-575-0114 Fax: 509-575-0808 | |
Ms. Alexis R Beinlich, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8000 | |
Dr. David W Carlson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 314 S 11th Ave, Suite A, Yakima, WA 98902 Phone: 509-575-0114 Fax: 509-575-0808 | |
Dr. Stephanie Kalila Raghubeer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2811 Tieton Dr, Yakima, WA 98902 Phone: 509-575-8452 |