Jana Shaw, MD | |
238 Arsenal St, Watertown, NY 13601-2504 | |
(315) 782-6400 | |
(315) 782-1330 |
Full Name | Jana Shaw |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 238 Arsenal St, Watertown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548208820 | NPI | - | NPPES |
02462559 | Medicaid | NY | |
239174 | Other | NY | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 239174 (New York) | Primary |
Entity Name | Pediatric Service Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770539066 PECOS PAC ID: 9931007200 Enrollment ID: O20031223000483 |
Mailing Address | Practice Location Address |
---|---|
Jana Shaw, MD 20830 Cagwin Rd, Watertown, NY 13601-5364 Ph: (315) 782-6400 | Jana Shaw, MD 238 Arsenal St, Watertown, NY 13601-2504 Ph: (315) 782-6400 |
Fernando Ongkingco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 513 Washington St, Watertown, NY 13601 Phone: 315-788-2211 Fax: 315-788-0956 | |
Farhana Abdul Basit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 238 Arsenal St, Watertown, NY 13601 Phone: 315-782-9450 | |
Shari M Hogan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 513 Washington Street, Watertown, NY 13601 Phone: 315-788-2211 Fax: 315-788-0956 | |
Dr. Stephanie Ann Oliva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18969 Us Route 11, Pediatric Associates Of Watertown, Watertown, NY 13601 Phone: 315-782-4391 Fax: 315-782-4387 | |
Dr. Robert Dennis Bacsik, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Harris Dr, Watertown, NY 13601 Phone: 315-782-4391 Fax: 315-788-8319 | |
Dr. Ronald G Perciaccante, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 513 Washington St, Watertown, NY 13601 Phone: 315-788-2211 Fax: 315-788-0956 |