Daniel Shipp, | |
1603 Wentzville Pkwy, Wentzville, MO 63385-3438 | |
(636) 327-6556 | |
(636) 332-1190 |
Full Name | Daniel Shipp |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 1603 Wentzville Pkwy, Wentzville, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982714853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 139217 (Missouri) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 139217 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Lincoln | Troy, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital Lincoln | 5193040020 | 27 |
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
Entity Name | Mercy Hospital Lincoln |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150217000619 |
Entity Name | Mercy Hospital Lincoln |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
Mailing Address | Practice Location Address |
---|---|
Daniel Shipp, 1603 Wentzville Pkwy, Wentzville, MO 63385-3438 Ph: (636) 327-6556 | Daniel Shipp, 1603 Wentzville Pkwy, Wentzville, MO 63385-3438 Ph: (636) 327-6556 |
Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
Sally Ann Breen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-856-5362 | |
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200 | |
Eileen Royal, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667 | |
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200 | |
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022 | |
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 |