Michelle R Shepherd, PMHNP-BC | |
4600 3rd St, Moline, IL 61265-6106 | |
(309) 779-2031 | |
Not Available |
Full Name | Michelle R Shepherd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 4600 3rd St, Moline, Illinois |
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 |
---|---|---|---|
1114571445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209019382 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G154523 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Robert Young Center For Community Mental Health | 4587600150 | 37 |
The Robert Young Center For Community Mental Health | 4587600150 | 37 |
Entity Name | Trinity Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033163829 PECOS PAC ID: 2264337518 Enrollment ID: O20040217000414 |
Entity Name | The Robert Young Center For Community Mental Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730685389 PECOS PAC ID: 4587600150 Enrollment ID: O20211208003044 |
Mailing Address | Practice Location Address |
---|---|
Michelle R Shepherd, PMHNP-BC 2001 Canal Shore Dr Sw, Le Claire, IA 52753-9564 Ph: () - | Michelle R Shepherd, PMHNP-BC 4600 3rd St, Moline, IL 61265-6106 Ph: (309) 779-2031 |
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