Dr Amy Elizabeth Shaw, MD | |
121 Sotoyome Street, Santa Rosa, CA 95405-4823 | |
(707) 546-4062 | |
(707) 525-8067 |
Full Name | Dr Amy Elizabeth Shaw |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 35 Years |
Location | 121 Sotoyome Street, Santa Rosa, 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 |
---|---|---|---|
1427127588 | NPI | - | NPPES |
00G699990 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G69999 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Sonoma Valley Hospital | Sonoma, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Dr Amy Elizabeth Shaw, MD 121 Sotoyome Street, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062 | Dr Amy Elizabeth Shaw, MD 121 Sotoyome Street, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062 |
Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611 | |
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626 | |
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697 | |
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595 | |
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361 |