Mrs Shauna M Large, FNP | |
16000 Johnston Memorial Dr, Suite 304, Abingdon, VA 24211-7664 | |
(276) 258-3600 | |
(276) 258-3605 |
Full Name | Mrs Shauna M Large |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 21 Years |
Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
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 |
---|---|---|---|
1306861778 | NPI | - | NPPES |
4319883 | Other | TN | BCBS TENNESSEE |
1306861778 | Medicaid | VA | |
1526528 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024165989 (Virginia) | Primary |
363LF0000X | Nurse Practitioner - Family | 8397 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Johnston Memorial Hospital | Abingdon, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shauna M Large, FNP 16000 Johnston Memorial Dr, Suite 304, Abingdon, VA 24211-7664 Ph: (276) 258-3600 | Mrs Shauna M Large, FNP 16000 Johnston Memorial Dr, Suite 304, Abingdon, VA 24211-7664 Ph: (276) 258-3600 |
Chesley Stanley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 607 Campus Dr, Abingdon, VA 24210 Phone: 276-525-4603 | |
Matthew J Sykes, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 East Valley Street, Abingdon, VA 24210 Phone: 276-628-7600 Fax: 276-628-2629 | |
Dr. Courtney Neel Rogers, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr Ste 213, Abingdon, VA 24211 Phone: 276-258-2600 | |
Virginia A. Thurston, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 613 Campus Dr, Suite 200, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 | |
Rebekah Christine Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 Campus Dr, Abingdon, VA 24210 Phone: 276-676-3870 Fax: 276-628-8927 | |
Mrs. Lora Diane Reynolds, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Suite 313, Abingdon, VA 24211 Phone: 276-258-3780 Fax: 276-258-3776 | |
Dr. Diana Michelle Oakes, DNP FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr Ste 312c, Abingdon, VA 24211 Phone: 276-258-1000 |