Jeffrey E Shook, DPM | |
20 Hospital Dr, Logan, WV 25601-3452 | |
(304) 831-1530 | |
(304) 831-1527 |
Full Name | Jeffrey E Shook |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 20 Hospital Dr, Logan, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346207487 | NPI | - | NPPES |
P00787217 | Other | OH | RAILROAD MEDICARE |
0227678 | Medicaid | OH | |
310917085188 | Other | OH | OH MEDICAID CARESOURCE |
0227678 | Other | OH | OH MEDICAID MOLINA |
000000264924 | Other | OH MEDICAID UNISON | |
6420018000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 00315 (West Virginia) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 36.002904 (Ohio) | Primary |
Provider Name | The Cleveland Clinic Foundation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey E Shook, DPM 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5890 | Jeffrey E Shook, DPM 20 Hospital Dr, Logan, WV 25601-3452 Ph: (304) 831-1530 |
Williamson Foot Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17 Main Ave, Professional Building, Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194 | |
Steve Scott Melek, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: Rt 10, Triangle Addition Professional Bldg, Logan, WV 25601 Phone: 304-752-3338 Fax: 304-752-0194 | |
Dr. Jamie Leann Hall-jasper, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 100 Main Ave, Logan, WV 25601 Phone: 304-896-5012 |