Dr Robert C Shaw Jr, MD | |
1098 S State Road 25, Logansport, IN 46947-6723 | |
(574) 722-4141 | |
(574) 735-3414 |
Full Name | Dr Robert C Shaw Jr |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1098 S State Road 25, Logansport, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366474710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01061706A (Indiana) | Primary |
Entity Name | State Of Michigan Office Of Financial Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
Entity Name | Pine Rest Christian Mental Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert C Shaw Jr, MD 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141 | Dr Robert C Shaw Jr, MD 1098 S State Road 25, Logansport, IN 46947-6723 Ph: (574) 722-4141 |
Dr. Danny J. Meadows Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Dr. Dexter L. Fields, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 | |
Dr. Jill D Abram, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Shawn G Larson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Ms. Doris Elizabeth Leblanc, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Dr. Despina Moise, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 |