Lucie Shinall Brown, ACNP | |
1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | |
(706) 295-5331 | |
(706) 291-8380 |
Full Name | Lucie Shinall Brown |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 1825 Martha Berry Blvd Nw, Rome, Georgia |
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 |
---|---|---|---|
1932496072 | NPI | - | NPPES |
003112882A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN169622 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Lucie Shinall Brown, ACNP 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 Ph: (770) 428-0462 | Lucie Shinall Brown, ACNP 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 Ph: (706) 295-5331 |
Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515 | |
Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 504 Redmond Rd Nw, Rome, GA 30165 Phone: 706-528-9060 Fax: 833-263-3551 | |
Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227 | |
Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507 | |
Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505 | |
Alexis Butler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477 | |
Linda H. Hoffmann, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Suite 102, Rome, GA 30165 Phone: 706-233-9349 Fax: 706-232-7986 |