| Mary Ellen Theresa Shields, MD | |
|
305 Estill St, Berea, KY 40403-1742 | |
| (859) 986-8418 | |
| (859) 986-6568 |
| Full Name | Mary Ellen Theresa Shields |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 305 Estill St, Berea, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285680553 | NPI | - | NPPES |
| 64303548 | Medicaid | KY | |
| P00357584 | Other | KY | RRMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 30354 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Theresa Shields, MD Po Box 936, London, KY 40743-0936 Ph: (859) 986-8418 | Mary Ellen Theresa Shields, MD 305 Estill St, Berea, KY 40403-1742 Ph: (859) 986-8418 |
Dr. Dasen R Ritchey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-986-3151 | |
Anthony James Nigliazzo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-986-8418 |