Michael W Shadowen, MD | |
106 E Wayne St, Glasgow, KY 42141-2636 | |
(270) 651-9129 | |
(270) 651-4916 |
Full Name | Michael W Shadowen |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 106 E Wayne St, Glasgow, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144289448 | NPI | - | NPPES |
64214737 | Medicaid | KY | |
000000057712 | Other | KY | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 21473 (Kentucky) | Primary |
Entity Name | Glasgow Radiology, Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730224817 PECOS PAC ID: 1759329394 Enrollment ID: O20050422000924 |
Mailing Address | Practice Location Address |
---|---|
Michael W Shadowen, MD Po Box 1537, Glasgow, KY 42142-1537 Ph: (270) 651-9129 | Michael W Shadowen, MD 106 E Wayne St, Glasgow, KY 42141-2636 Ph: (270) 651-9129 |
Dr. Jason Matthew White, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4175 | |
Victor L Zirilli, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Dr. William Craig Tyree, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 103 Trista Ln, Glasgow, KY 42141 Phone: 270-659-0184 Fax: 270-651-9264 | |
Kevin Lyn Burner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4175 |