Shane Russell-jenkins
WEST YAVAPAI GUIDANCE CLINIC INC


Address: 505 S Cortez St, Prescott, AZ 86303-4319
Phone: 9284455211

Shane Russell-jenkins (NPI# 1508978750, PAC ID# 7012982259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1508978750
PAC ID by PECOS 7012982259
Professional Enrollment ID I20111122000172
Full Name Shane Russell-jenkins
Organization Legal Name WEST YAVAPAI GUIDANCE CLINIC INC
Address 505 S Cortez St
Prescott
AZ 86303-4319
Phone Number 9284455211
Gender M
Credential MD
Medical School UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty PSYCHIATRY
Group Practice PAC ID 3375524358
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030012 YAVAPAI REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
505 S Cortez St, Prescott, AZ 86303-4319 9284455211 WEST YAVAPAI GUIDANCE CLINIC INC
505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319 9284455211 WEST YAVAPAI GUIDANCE CLINIC INC

Organization Information

Organization Legal Name WEST YAVAPAI GUIDANCE CLINIC INC
Physicians 23

Physicians with the same organization

Name Specialty Organization Address
Nolan Marcos Physician Assistant West Yavapai Guidance Clinic Inc 625 W Hillside Ave, Prescott, AZ 86301-1936
Barry J Coe Psychiatry West Yavapai Guidance Clinic Inc 555 W Rd 3, Chino Valley, AZ 86323-5363
Jami A Remien Nurse Practitioner West Yavapai Guidance Clinic Inc 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283
Susan L Frost Nurse Practitioner West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319
Frantz Muse Neuropsychiatry West Yavapai Guidance Clinic Inc 3347 N Windsong Dr, Prescott Valley, AZ 86314-2283
David A Jenson Nurse Practitioner West Yavapai Guidance Clinic Inc 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283
Valerie D Guernsey Psychiatry West Yavapai Guidance Clinic Inc 625 W Hillside Ave, Prescott, AZ 86301-1936
David A Wolkoff Psychiatry West Yavapai Guidance Clinic Inc 625 W Hillside Ave, Prescott, AZ 86301-1936
Robert Duane Barker Family Medicine West Yavapai Guidance Clinic Inc 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283
Linda Anne Bosse Nurse Practitioner West Yavapai Guidance Clinic Inc 625 W Hillside Ave, Prescott, AZ 86301-1936

Office Location

Street Address 505 S CORTEZ ST
City PRESCOTT
State AZ
Zip 86303-4319

Physicians in the same location

Name Specialty Organization Address
Susan L Frost Nurse Practitioner West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319
Ferenc Nagy Family Medicine West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319
Raquel Balderas Psychiatry West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319
Cherie F Wilcher Nurse Practitioner West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319
Pamela Powers Psychiatry West Yavapai Guidance Clinic Inc 505 S Cortez St, West Yavapai Guidance Clinic Inc Cortez Clinic, Prescott, AZ 86303-4319

Physicians in the same zip code

Name Specialty Organization Address
Harald M Gutgsell Pain Management 222 S Summit Ave, Suite 3, Prescott, AZ 86303-3780
Gage B Permar Physical Therapy 450 W Goodwin St, Suite 102a, Prescott, AZ 86303-3783
Sarah A Edmonds Psychologist, Clinical 123 E Goodwin St, Prescott, AZ 86303-3940
Daniel B Wasserman Psychologist, Clinical 339 S Cortez St, Prescott, AZ 86303-4315
Brent R Stevens Chiropractic 405 White Spar Rd, Prescott, AZ 86303-4625
Andrew J Stickel Physical Therapy Backways Physical Therapy, Pllc 250 S Mccormick St, Prescott, AZ 86303-4714
Martha L Henshaw Physical Therapy Backways Physical Therapy, Pllc 250 S Mccormick St, Prescott, AZ 86303-4714
J Mac Hirst Physical Therapy Backways Physical Therapy, Pllc 250 S Mccormick St, Prescott, AZ 86303-4714
Justin T Mckinney Physical Therapy Backways Physical Therapy, Pllc 250 S Mccormick St, Prescott, AZ 86303-4714
Andrea Rose Durante Physical Therapy Backways Physical Therapy, Pllc 250 S Mccormick St, Prescott, AZ 86303-4714
Find all physicians in zip 86303

Competitor

Search similar physicians

City PRESCOTT
Zip Code 86303
Specialty PSYCHIATRY
City + Specialty PRESCOTT + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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