Matthew Marvin Shankle, MD | |
1101 W University, Rochester, MI 48307 | |
(248) 652-5354 | |
(248) 652-5407 |
Full Name | Matthew Marvin Shankle |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 1101 W University, Rochester, Michigan |
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 |
---|---|---|---|
1740250448 | NPI | - | NPPES |
102903575 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301053824 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Providence - Crittenton Hospital Medical Center | Rochester, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Services Associates Pc | 4385557602 | 62 |
Entity Name | Anesthesia Services Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497797153 PECOS PAC ID: 4385557602 Enrollment ID: O20031111000822 |
Mailing Address | Practice Location Address |
---|---|
Matthew Marvin Shankle, MD 441 S Livernois, Suite 190, Rochester, MI 48307-2591 Ph: (248) 656-9696 | Matthew Marvin Shankle, MD 1101 W University, Rochester, MI 48307 Ph: (248) 652-5354 |
Dale Anthony Gonzales, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Leslie Lennox Walsh, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W University, Rochester, MI 48307 Phone: 248-652-5000 | |
Dr. Choon Whan Pak, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1101 W University, Rochester, MI 48307 Phone: 248-652-5000 | |
Dr. Bruce David Miller, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 W University Dr Ste 100, Rochester, MI 48307 Phone: 248-967-7082 | |
Osama Tariq, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Frank Anthony Barrack, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 |