Alicia C Shaw, FNP | |
300 N Morley St Ste A-c, Moberly, MO 65270-2334 | |
(660) 263-1225 | |
(660) 263-1613 |
Full Name | Alicia C Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 300 N Morley St Ste A-c, Moberly, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124563275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A153239 (Iowa) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2016043696 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Swope Health Services | 5294644530 | 47 |
Pike County Memorial Hospital | 8123015518 | 29 |
Entity Name | Swope Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689760076 PECOS PAC ID: 5294644530 Enrollment ID: O20040416000940 |
Entity Name | Pike County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124030424 PECOS PAC ID: 8123015518 Enrollment ID: O20050407000376 |
Entity Name | Noble Health Audrain Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
Mailing Address | Practice Location Address |
---|---|
Alicia C Shaw, FNP 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (660) 263-1225 | Alicia C Shaw, FNP 300 N Morley St Ste A-c, Moberly, MO 65270-2334 Ph: (660) 263-1225 |
Erma Johnmeyer-schutte, RN,C.S.,F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Union Ave, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Kerri Elizabeth Woodson, AGAC, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-263-8400 Fax: 660-269-2943 | |
Brooke D Gipson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1319 E Highway 24, Moberly, MO 65270 Phone: 660-263-6643 Fax: 660-263-0333 | |
Diana Wemhoff, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave Ste D, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Barbara Carrender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Union Ave Ste 2500, Moberly, MO 65270 Phone: 660-372-1313 | |
Susan Y Rasmussen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave, Suite A, Moberly, MO 65270 Phone: 660-263-5556 |