Dr Benjamin Loren Shaw, DO | |
1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 | |
(720) 718-7000 | |
(870) 207-6581 |
Full Name | Dr Benjamin Loren Shaw |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 1750 E Ken Pratt Blvd, Longmont, Colorado |
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 |
---|---|---|---|
1952424657 | NPI | - | NPPES |
173381003 | Medicaid | AR | |
1952424657 | Medicaid | MO | |
58.001782 | Other | OH | OHIO LICENSE TRAINING CER |
P00924052 | Other | AR | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 58.001782 (Ohio) | Secondary |
207R00000X | Internal Medicine | E5527 (Arkansas) | Secondary |
207R00000X | Internal Medicine | DR0058636 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longs Peak Hospital | Longmont, CO | Hospital |
Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Loren Shaw, DO 2695 Rocky Mountain Avenue, Suite 150, Loveland, CO 80538 Ph: (970) 624-4440 | Dr Benjamin Loren Shaw, DO 1750 E Ken Pratt Blvd, Longmont, CO 80504-5311 Ph: (720) 718-7000 |
Ms. Prachi Toni Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Ken Pratt Blvd Ste 104, Longmont, CO 80501 Phone: 303-415-4157 Fax: 303-776-3109 | |
Carl Noble, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-3300 Fax: 303-682-3380 | |
Theresa A Tyler, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-743-5855 | |
Hossein Maymani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1760 E Ken Pratt Blvd Ste 302, Longmont, CO 80504 Phone: 303-684-1900 Fax: 303-684-1925 | |
Dr. Lynn Marie Carlyle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Professional Ln Unit 150, Longmont, CO 80501 Phone: 720-388-7760 Fax: 720-405-4228 | |
Dr. Linda Backup, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Anita R. Ritenour, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1750 E Ken Pratt Blvd, Longmont, CO 80504 Phone: 720-718-7000 |