Dr Muhammad Asghar Ali Shah, MD | |
7487 S State Road 121, Macclenny, FL 32063-5451 | |
(904) 259-6211 | |
(904) 259-7104 |
Full Name | Dr Muhammad Asghar Ali Shah |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7487 S State Road 121, Macclenny, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538108410 | NPI | - | NPPES |
024663 | Other | ND | BCBS ND PROVIDER NUMBER |
054519 | Medicaid | ND | |
001391400 | Medicaid | FL | |
501Y3SH | Other | ND | BCBS MN PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 9655 (North Dakota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | ACN298 (Florida) | Primary |
Entity Name | Florida Department Of Children And Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
Mailing Address | Practice Location Address |
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Dr Muhammad Asghar Ali Shah, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 | Dr Muhammad Asghar Ali Shah, MD 7487 S State Road 121, Macclenny, FL 32063-5451 Ph: (904) 259-6211 |
Mr. James Timothy Damiani, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 990-425-9621 Fax: 904-259-7104 | |
Mr. Toribio M Duhaylungsod, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Sergio M. Arcey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Mr. Randly Lysander Woods, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Dr. Judith Hallstrom, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 Fax: 904-259-7104 | |
Olga Ines Arias, D. O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7487 S State Road 121, Macclenny, FL 32063 Phone: 904-259-6211 |