Ms Eydie A Farrow, APNP | |
113 4th Avenue, Shell Lake, WI 54871 | |
(715) 468-7833 | |
(715) 468-7839 |
Full Name | Ms Eydie A Farrow |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 113 4th Avenue, Shell Lake, Wisconsin |
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 |
---|---|---|---|
1487652772 | NPI | - | NPPES |
4390900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1707-33 (Wisconsin) | Primary |
363LF0000X | Nurse Practitioner - Family | 1707 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Indianhead Medical Ctr | Shell lake, WI | Hospital |
Spooner Health System | Spooner, WI | Hospital |
St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianhead Medical Center Shell Lake, Inc. | 6406748839 | 7 |
Entity Name | Indianhead Medical Center Shell Lake, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053859058 PECOS PAC ID: 6406748839 Enrollment ID: O20170331000695 |
Entity Name | Indianhead Medical Center Shell Lake, Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1568438125 PECOS PAC ID: 6406748839 Enrollment ID: O20210819002133 |
Mailing Address | Practice Location Address |
---|---|
Ms Eydie A Farrow, APNP 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 | Ms Eydie A Farrow, APNP 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 |
Terry Lynn Weinert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 4th Avenue, Shell Lake, WI 54871 Phone: 715-468-7833 Fax: 715-468-7839 | |
Sara Haynes Olson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 113 4th Ave, Shell Lake, WI 54871 Phone: 715-468-7833 Fax: 715-468-7839 | |
Ashley Regimbal, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 4th Ave, Shell Lake, WI 54871 Phone: 605-261-7144 |