Jackson A Shaver, MD | |
1200 Westwood Dr, Hamilton, MT 59840-2345 | |
(406) 363-2211 | |
Not Available |
Full Name | Jackson A Shaver |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1200 Westwood Dr, Hamilton, Montana |
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 |
1669008710 | Medicaid | ID | |
200016364 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MED-PHYS-LIC-118840 (Montana) | Primary |
207P00000X | Emergency Medicine | 9661578 (Idaho) | Secondary |
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 1200 Westwood Dr, Hamilton, MT 59840-2345 Ph: () - | Jackson A Shaver, MD 1200 Westwood Dr, Hamilton, MT 59840-2345 Ph: (406) 363-2211 |
Dr. Aaron Christopher Laird, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 | |
Frank J Mchugh, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 Fax: 406-375-4590 | |
Dr. Richard H Eggleston, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 W Main St, Hamilton, MT 59840 Phone: 406-363-0597 Fax: 406-375-4858 | |
Melissa V Ortiz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 | |
Clinton R Adkins, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 Fax: 406-375-4590 | |
Samuel P Urso, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 Fax: 406-375-4590 | |
Dr. William L Doyle, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Westwood Dr, Hamilton, MT 59840 Phone: 406-363-2211 Fax: 406-363-6536 |