Dr Jonathan David Shaw, MD | |
2911 Brunswick Road, Memphis, TN 38133 | |
(901) 377-4700 | |
Not Available |
Full Name | Dr Jonathan David Shaw |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2911 Brunswick Road, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669579116 | NPI | - | NPPES |
00877855 | Medicaid | MS | |
Q008619 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 36677 (Tennessee) | Primary |
Entity Name | Alliance Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295898393 PECOS PAC ID: 4082766621 Enrollment ID: O20090713000696 |
Entity Name | Shepherd Clinical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548704620 PECOS PAC ID: 6305118779 Enrollment ID: O20170818002530 |
Mailing Address | Practice Location Address |
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Dr Jonathan David Shaw, MD Po Box 415000 Msc7548, Nashville, TN 37241-7548 Ph: (901) 377-4700 | Dr Jonathan David Shaw, MD 2911 Brunswick Road, Memphis, TN 38133 Ph: (901) 377-4700 |
Dr. James H Jaster, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23 South Pauline Street,, Suite 709, Memphis, TN 38104 Phone: 901-577-9467 Fax: 901-362-6618 | |
Dr. Joel Allen Reisman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave Ste 204, Memphis, TN 38117 Phone: 901-761-2622 Fax: 901-761-2355 | |
Dr. John Pharis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2150 Whitney Ave, Memphis, TN 38127 Phone: 901-353-5440 Fax: 901-353-5464 | |
Fred Godwin Thomason, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5515 Shelby Oaks Dr, Memphis, TN 38134 Phone: 901-252-7718 Fax: 901-252-7680 | |
Lalitha Vaddadi, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3810 Winchester Rd, Memphis, TN 38118 Phone: 901-369-1420 Fax: 901-369-1433 | |
Nita S Desai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-268-8620 Fax: 901-877-7991 | |
Caitlin Moran Brockenshire, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6325 Humphreys Blvd, Memphis, TN 38120 Phone: 901-522-7700 Fax: 901-522-2600 |