Dr Joseph Leon Shetler, OD | |
112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 | |
(308) 282-0820 | |
(308) 282-0833 |
Full Name | Dr Joseph Leon Shetler |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 112 N Main, Gordon, Nebraska |
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 |
---|---|---|---|
1952362139 | NPI | - | NPPES |
410017859 | Other | NE | RR MEDICARE |
4993075 | Other | SD | WELLMARK BCBS |
9202142 | Medicaid | SD | |
06923 | Other | NE | BCBS |
9202140 | Medicaid | SD | |
9202143 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 939 (Nebraska) | Primary |
152W00000X | Optometrist | 621 (South Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherokee Nation | 5799698742 | 361 |
Northeastern State University College Of Optometry | 0941112528 | 16 |
Provider Name | Cherokee Nation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Leon Shetler, OD 112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 Ph: (308) 282-0820 | Dr Joseph Leon Shetler, OD 112 N Main, Gordon Vision Center, Gordon, NE 69343-1524 Ph: (308) 282-0820 |
Bradley C Marcy, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, Gordon, NE 69343 Phone: 308-282-0820 | |
Gordon Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 N Main St, Gordon, NE 69343 Phone: 308-282-0820 Fax: 308-282-0833 |