Jackson A Shaver, MD | |
700 Scott And White Dr, College Station, TX 77845-6441 | |
(979) 207-0100 | |
(979) 207-2161 |
Full Name | Jackson A Shaver |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 700 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669008710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | T3385 (Texas) | Primary |
Entity Name | Marcus Daly Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20040202001033 |
Entity Name | Marcus Daly Memorial Hospital Corporation |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1659475846 PECOS PAC ID: 5597664474 Enrollment ID: O20061104000439 |
Mailing Address | Practice Location Address |
---|---|
Jackson A Shaver, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Jackson A Shaver, MD 700 Scott And White Dr, College Station, TX 77845-6441 Ph: (979) 207-0100 |
Dr. Chet Dean Schrader, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Anthony Joseph Hackett, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Kenneth Wilson Conner Iv, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Ann Marie Reed, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Texas A And M University A P Beutel Health Ctr, Tamu 1264, College Station, TX 77843 Phone: 979-458-8272 Fax: 979-458-8352 | |
Dr. Ripal H Patel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Scott Kimball, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 | |
Garry Lynn Gore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1604 Rock Prairie Rd, College Station, TX 77845 Phone: 979-764-5100 |