| Everett Lee Shaw, PA-C | |
|
4775 E Maryland St, Decatur, IL 62521-8820 | |
| (217) 864-3737 | |
| (217) 864-3468 |
| Full Name | Everett Lee Shaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 4775 E Maryland St, Decatur, Illinois |
| 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 |
|---|---|---|---|
| 1437444163 | NPI | - | NPPES |
| 205790002 | Other | IL | MEDICARE PTAN |
| 1051123 | Other | NCCAP NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.004037 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Madisonville | Madisonville, KY | Hospital |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 499 |
| Mailing Address | Practice Location Address |
|---|---|
| Everett Lee Shaw, PA-C 517 N Main St, Anna, IL 62906-1668 Ph: (618) 833-4300 | Everett Lee Shaw, PA-C 4775 E Maryland St, Decatur, IL 62521-8820 Ph: (217) 864-3737 |
Mary Katherine Kenney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 | |
Paul Gurley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Bethany Morgan Gebur, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Southland Dr, Decatur, IL 62521 Phone: 217-422-0311 Fax: 217-422-0416 | |
Mr. Brian P Jacquot, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Suite 2350, Decatur, IL 62526 Phone: 217-876-2880 Fax: 217-876-2885 | |
Lauren Duane Buckingham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 | |
Kyle James Brownfield, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 425 W North St, Decatur, IL 62522 Phone: 312-498-4431 | |
Laura E Law, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |