William L Shankel, MD | |
516 East Nizhoni Blvd., Gallup, NM 87301 | |
(505) 722-1000 | |
(505) 722-1650 |
Full Name | William L Shankel |
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Gender | Male |
Speciality | Surgery |
Location | 516 East Nizhoni Blvd., Gallup, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447290440 | NPI | - | NPPES |
34676333 | Medicaid | CO | |
890964 | Medicaid | AZ | |
53676076 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD4187 (Hawaii) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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William L Shankel, MD P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | William L Shankel, MD 516 East Nizhoni Blvd., Gallup, NM 87301 Ph: (505) 722-1000 |
Charles J.s. Guimaraes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Red Rock Dr., Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200 | |
Dr. Loretta L Christensen, MD Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Maria P Gobencion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Jack B Fralinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1226 | |
Dr. Chayanin Musikasinthorn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Kimberly Marie Collins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7200 |