Marcia Lynne Shrock, APRN | |
122 N Watterson Trl, Louisville, KY 40243-2700 | |
(502) 314-7050 | |
(502) 245-7992 |
Full Name | Marcia Lynne Shrock |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 122 N Watterson Trl, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548389752 | NPI | - | NPPES |
18795 | Other | SC | STATE ARNP LICENSE |
201504071RN | Other | OR | OR RN LICENSE |
201505322NP-PP | Other | OR | OR NP LICENSE |
3004426 | Other | KY | STATE APRN LICENSE |
COA.14296-NP | Other | OH | STATE NP LICENSE |
5009232 | Other | NC | NC NP LICENSE |
7100214550 | Medicaid | KY | |
71005296A | Other | IN | IN NP LICENSE |
CNP151106 | Other | ME | NP LICENSE |
CNP-02529 | Other | NM | STATE ARNP LICENSE |
AP124312 | Other | TX | STATE ARNP LICENSE |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20211115002535 |
Mailing Address | Practice Location Address |
---|---|
Marcia Lynne Shrock, APRN 122 N Watterson Trl, Louisville, KY 40243-2700 Ph: (502) 314-7050 | Marcia Lynne Shrock, APRN 122 N Watterson Trl, Louisville, KY 40243-2700 Ph: (502) 314-7050 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |