Dr Roger Brian Shambo, MD | |
9559 Main Street, Beaver Falls, NY 13305 | |
(315) 346-6824 | |
(315) 346-6868 |
Full Name | Dr Roger Brian Shambo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 9559 Main Street, Beaver Falls, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649251489 | NPI | - | NPPES |
01021076 | Medicaid | NY | |
374498 | Other | NY | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 165521-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lewis County General Hospital | Lowville, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lewis County General Hospital | 2668463779 | 35 |
Lewis County General Hospital | 2668463779 | 35 |
Entity Name | Lewis County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790857308 PECOS PAC ID: 2668463779 Enrollment ID: O20040901000113 |
Entity Name | Lewis County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568534303 PECOS PAC ID: 2668463779 Enrollment ID: O20040901000160 |
Entity Name | Lewis County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659433217 PECOS PAC ID: 2668463779 Enrollment ID: O20041006001059 |
Mailing Address | Practice Location Address |
---|---|
Dr Roger Brian Shambo, MD 9559 Main Street, Po Box 180, Beaver Falls, NY 13305-0180 Ph: (315) 346-6824 | Dr Roger Brian Shambo, MD 9559 Main Street, Beaver Falls, NY 13305 Ph: (315) 346-6824 |
Thomas Peter Birk, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9559 Main Street, Beaver Falls, NY 13305 Phone: 315-346-6824 Fax: 315-346-6868 | |
Shirley Tuttle-malone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9559 Main Street, Beaver Falls, NY 13305 Phone: 315-346-6824 Fax: 315-346-6868 |