| Amanda Shull, NP | |
|
2800 Electric Rd, Roanoke, VA 24018-3549 | |
| (540) 725-7600 | |
| Not Available |
| Full Name | Amanda Shull |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2800 Electric Rd, Roanoke, Virginia |
| 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 |
|---|---|---|---|
| 1548870660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024179664 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Dermatology Pc | 6002872553 | 14 |
| Entity Name | Commonwealth Dermatology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013091115 PECOS PAC ID: 6002872553 Enrollment ID: O20041206001202 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Shull, NP 333 N Summit St Fl 15, Toledo, OH 43604-1531 Ph: () - | Amanda Shull, NP 2800 Electric Rd, Roanoke, VA 24018-3549 Ph: (540) 725-7600 |
Catherine Campbell Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360 | |
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 | |
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000 | |
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500 | |
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308 | |
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429 |