| Raina Shanks, DO | |
|
2003 Kootenai Health Way Fl Center1, Coeur D Alene, ID 83814-6051 | |
| (208) 625-5700 | |
| (208) 625-5708 |
| Full Name | Raina Shanks |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 2003 Kootenai Health Way Fl Center1, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417008475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5075 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | UO1483 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Camden Emergency Group Llc | 2961665369 | 24 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Healthcare Associated Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720202161 PECOS PAC ID: 5890744460 Enrollment ID: O20050120000922 |
| Entity Name | Camden Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
| Entity Name | Mercy Hospital Carthage |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1003201955 PECOS PAC ID: 8426225251 Enrollment ID: O20141203001963 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619332046 PECOS PAC ID: 6608056171 Enrollment ID: O20150312000325 |
| Entity Name | Liberty Hospital Emergency Medicine Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336646736 PECOS PAC ID: 0749544153 Enrollment ID: O20180511001882 |
| Mailing Address | Practice Location Address |
|---|---|
| Raina Shanks, DO 2003 Kootenai Health Way Fl Center1, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5700 | Raina Shanks, DO 2003 Kootenai Health Way Fl Center1, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5700 |
Christina Crabtree, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 Fax: 208-625-5731 | |
Dr. Matthew Kunz, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Dr. Thomas Patrick Martin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814 Phone: 208-773-7731 Fax: 208-773-7721 | |
Dr. Cody Laverdiere, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 | |
Kathrine Giarra, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000 | |
Erika Crawford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 | |
Cameron Crandall, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-5700 Fax: 208-625-5708 |