Dr Charlene G Shaw, DO | |
985 Sr 436, Casselberry, FL 32707-5664 | |
(407) 831-5252 | |
(561) 367-7886 |
Full Name | Dr Charlene G Shaw |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 985 Sr 436, Casselberry, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154309557 | NPI | - | NPPES |
009795400 | Medicaid | FL | |
P01234568 | Other | FL | RAILROAD MC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS8413 (Florida) | Primary |
Entity Name | Quality Medical Consultant Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003216391 PECOS PAC ID: 7517243447 Enrollment ID: O20170407001493 |
Entity Name | M Medical Group Se Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609530013 PECOS PAC ID: 4385037670 Enrollment ID: O20220209001431 |
Mailing Address | Practice Location Address |
---|---|
Dr Charlene G Shaw, DO 985 S R 436, Casselberry, FL 32707-5664 Ph: (407) 831-5252 | Dr Charlene G Shaw, DO 985 Sr 436, Casselberry, FL 32707-5664 Ph: (407) 831-5252 |
Dr. Matthew Calestino, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765 | |
Sudha R Ganti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765 | |
Dr. Radhika Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 946 East Semoran Blvd, Casselberry, FL 32707 Phone: 407-831-3141 Fax: 407-831-7873 | |
Jared Hunter West, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 946 East Semoran Blvd, Casselberry, FL 32707 Phone: 407-831-3141 Fax: 407-831-7873 | |
Dr. Purnima R. Rao, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 985 Sr 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3390 | |
Khurshid Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 946 East Semoran Blvd, Casselberry, FL 32707 Phone: 407-831-3141 Fax: 407-831-7873 |