John H Shackelford Jr, DO | |
1421 Orleans Rd, Harwich, MA 02645-2148 | |
(508) 778-4777 | |
(508) 771-9555 |
Full Name | John H Shackelford Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1421 Orleans Rd, Harwich, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598724072 | NPI | - | NPPES |
2104296 | Medicaid | MA | |
J28724 | Other | MA | BCBS |
AA35717 | Other | MA | HPHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 220500 (Massachusetts) | Primary |
Entity Name | Carewell Urgent Care Centers Of Ma, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740543214 PECOS PAC ID: 7618124470 Enrollment ID: O20120829000745 |
Mailing Address | Practice Location Address |
---|---|
John H Shackelford Jr, DO 297 North St, Hyannis, MA 02601-5108 Ph: (508) 862-7777 | John H Shackelford Jr, DO 1421 Orleans Rd, Harwich, MA 02645-2148 Ph: (508) 778-4777 |
Eldad Rosenthal, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 525 Long Pond Drive, Fontaine Medical Center, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 | |
Dr. Mary Romeyn, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 61 Continental Dr, Harwich, MA 02645 Phone: 415-254-4682 | |
Monica E Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Long Pond Drive, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 | |
Dr. Alice Barton, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Long Pond Dr, Fontaine Medical Center, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 | |
Dr. Diana M Arena, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Clearwater Dr, Harwich, MA 02645 Phone: 774-237-9116 Fax: 774-237-3411 | |
Ziad G Farah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Long Pond Dr, Fontaine Medical Center, Harwich, MA 02645 Phone: 508-432-4100 Fax: 508-432-8951 |