| Dr Mary Jo Shaw, MD | |
|
700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | |
| (208) 667-0585 | |
| (208) 667-0876 |
| Full Name | Dr Mary Jo Shaw |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 700 W Ironwood Dr, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316957202 | NPI | - | NPPES |
| 000010000163 | Other | ID | REGENCE BLUE SHIELD |
| 1040476 | Medicaid | WA | |
| 000010000162 | Other | ID | REGENCE BLUE SHIELD |
| 1316957202 | Medicaid | MT | |
| DF474 | Other | ID | BLUE CROSS OF IDAHO |
| 000396600 | Medicaid | ID | |
| 53256 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M5325 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Jo Shaw, MD 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 Ph: (208) 667-0585 | Dr Mary Jo Shaw, MD 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 Ph: (208) 667-0585 |
Dr. Thomas R Rau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Terence Earl Neff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Dr. Brook Yuknis Lang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5185 Fax: 208-625-5892 | |
Dr. Beth Ann Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 | |
Dr. Cheri Kathleen Savage, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814 Phone: 208-667-0585 Fax: 208-667-0876 | |
Christy L Riley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr, Suite 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5437 |