Mrs Shan C Gordon, ARNP | |
867 Mcguire Ave, Paducah, KY 42001-4036 | |
(731) 394-1145 | |
Not Available |
Full Name | Mrs Shan C Gordon |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 867 Mcguire Ave, Paducah, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427455831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 4007490 (Kentucky) | Primary |
Entity Name | Pinelake Physician Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295960532 PECOS PAC ID: 6800797507 Enrollment ID: O20040115001094 |
Mailing Address | Practice Location Address |
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Mrs Shan C Gordon, ARNP Po Box 269084, Dept 1102, Oklahoma City, OK 73126 Ph: (731) 394-1145 | Mrs Shan C Gordon, ARNP 867 Mcguire Ave, Paducah, KY 42001-4036 Ph: (731) 394-1145 |
Mrs. Shay Lynn Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Medical Center Dr, Suite 402, Paducah, KY 42003 Phone: 270-442-0103 Fax: 270-442-0109 | |
Mrs. Lisa Joi Oetjen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4787 Alben Barkley Dr, Paducah, KY 42001 Phone: 270-442-9461 Fax: 270-441-0079 | |
Ms. Leslie Marie Ferguson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2100 | |
Jessie Meiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 N 29th St, Paducah, KY 42001 Phone: 270-556-3290 | |
Belinda Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Kentucky Ave, Suite 301, Paducah, KY 42003 Phone: 270-759-4098 Fax: 270-737-3627 | |
Alexa T Payne, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Kentucky Ave, Suite 601, Paducah, KY 42003 Phone: 270-408-4368 Fax: 270-408-3272 | |
Lindsey Lamb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 867 Mcguire Ave, Paducah, KY 42001 Phone: 731-394-1145 |