Dr Michele B Shackelford, MD | |
475 S Dobson Rd, Chandler, AZ 85224-5605 | |
(480) 917-1648 | |
Not Available |
Full Name | Dr Michele B Shackelford |
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Gender | Female |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 475 S Dobson Rd, Chandler, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811079940 | NPI | - | NPPES |
AZ0736120 | Other | AZ | BC/BS |
398140-08 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 25735 (Arizona) | Primary |
Entity Name | Chandler Emergency Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104871961 PECOS PAC ID: 1658272968 Enrollment ID: O20040120000160 |
Entity Name | Tec Emergency Physicians Of Arizona, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
Mailing Address | Practice Location Address |
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Dr Michele B Shackelford, MD 7745 E Roland Cir, Mesa, AZ 85207-1172 Ph: () - | Dr Michele B Shackelford, MD 475 S Dobson Rd, Chandler, AZ 85224-5605 Ph: (480) 917-1648 |
Dr. Ryan Frank, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-963-4561 | |
Dr. Steven Torres, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-917-1648 | |
Nicholas F Vasquez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3000 | |
Samantha Odell Meyerhoff, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2875 W Ray Rd Ste 8, Chandler, AZ 85224 Phone: 480-899-3070 | |
Dr. Gregory Berman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-917-1648 | |
Dr. Melissa Kelsey, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3974 | |
Dr. Arseny Bezprozvanny, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1955 W Frye Rd, Chandler, AZ 85224 Phone: 480-728-3753 |