Mary Catherine Elizabeth Shipley, NP | |
6419 Bristol Hwy, Piney Flats, TN 37686-5208 | |
(423) 538-5202 | |
(423) 538-8208 |
Full Name | Mary Catherine Elizabeth Shipley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 6419 Bristol Hwy, Piney Flats, Tennessee |
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 |
---|---|---|---|
1578107181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 25943 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emmaus Community Healthcare, Pllc | 3870560741 | 7 |
Blue Ridge Medical Management Corporation | 9739099441 | 280 |
Entity Name | Blue Ridge Medical Management Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
Entity Name | Emmaus Community Healthcare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379093 PECOS PAC ID: 3870560741 Enrollment ID: O20040911000150 |
Entity Name | Fast Pace Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
Entity Name | Wellmont Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Mary Catherine Elizabeth Shipley, NP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 538-5202 | Mary Catherine Elizabeth Shipley, NP 6419 Bristol Hwy, Piney Flats, TN 37686-5208 Ph: (423) 538-5202 |
Lindsey Paige Pendergrass, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031 | |
Mrs. Eden Marie Villiard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6419 Bristol Hwy, Piney Flats, TN 37686 Phone: 423-538-5202 | |
Christy A Rabetoy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 116 Allison Timbers Rd, Piney Flats, TN 37686 Phone: 423-319-7313 | |
Camellia N Mccommons, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5554 Nwy 11 E, Piney Flats, TN 37686 Phone: 423-666-0030 Fax: 423-666-0031 |