David M Shackelford, MD | |
1224 Trotwood Ave, Columbia, TN 38401-4802 | |
(844) 295-4871 | |
Not Available |
Full Name | David M Shackelford |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 22 Years |
Location | 1224 Trotwood Ave, Columbia, Tennessee |
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 |
---|---|---|---|
1578541439 | NPI | - | NPPES |
87131 | Other | TN | BCBS |
300039095 | Other | TN | RR MEDICARE |
3050164 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20169 (South Carolina) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 15386 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maury Regional Hospital | Columbia, TN | Hospital |
Marshall Medical Center | Lewisburg, TN | Hospital |
Wayne Medical Center | Waynesboro, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spring Hill Imaging Center, Llc | 3577666536 | 13 |
Southern Radiology Associates, Pllc | 7214913649 | 13 |
Entity Name | Southern Radiology Associates, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467460725 PECOS PAC ID: 7214913649 Enrollment ID: O20040626000358 |
Entity Name | Spring Hill Imaging Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073692158 PECOS PAC ID: 3577666536 Enrollment ID: O20070312000369 |
Mailing Address | Practice Location Address |
---|---|
David M Shackelford, MD Po Box 3239, Indianapolis, IN 46206-3239 Ph: (844) 295-4871 | David M Shackelford, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (844) 295-4871 |
Dr. James David Grippo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Joseph E. Pate, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-388-1286 Fax: 931-388-7119 | |
Dr. James Blair Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Southern Radiology Associates, Pllc, Columbia, TN 38401 Phone: 931-647-5034 Fax: 931-552-6663 | |
Nathan R Berkley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-388-1286 Fax: 931-388-7119 | |
Dr. Michael Scott Rissing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Scott Howard Monen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 Fax: 931-380-4104 |