Ms Stacey Lynn Shaw, APRN | |
2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 | |
(843) 919-0700 | |
(843) 919-0727 |
Full Name | Ms Stacey Lynn Shaw |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2423 Highway 17 S, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093226789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 20127 (South Carolina) | Primary |
Entity Name | Senior Health And Education Partners Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205237245 PECOS PAC ID: 8729304290 Enrollment ID: O20150226002113 |
Mailing Address | Practice Location Address |
---|---|
Ms Stacey Lynn Shaw, APRN 286 Junco Cir, Longs, SC 29568-6965 Ph: (843) 321-5099 | Ms Stacey Lynn Shaw, APRN 2423 Highway 17 S, North Myrtle Beach, SC 29582-4343 Ph: (843) 919-0700 |
Roman Koryakin, FNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3816 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-272-1411 | |
Sandra Lee Payne, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-249-1451 | |
Joann Kay Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 866-389-2727 | |
Mrs. Tisha Michelle Brown, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 866-389-2727 | |
Mrs. Barbie Suggs Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 Highway 17 S, North Myrtle Beach, SC 29582 Phone: 843-361-0705 | |
Tracey Michelle Lewis, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2021 N Myrtle Point Blvd Ste 102, North Myrtle Beach, SC 29582 Phone: 843-366-3060 Fax: 843-366-3069 |