Samantha Shepard, | |
1011 S Mount Carmel Pl, Pittsburg, KS 66762-6604 | |
(620) 670-6710 | |
Not Available |
Full Name | Samantha Shepard |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1011 S Mount Carmel Pl, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962132134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 13-115964 (Kansas) | Secondary |
363L00000X | Nurse Practitioner | 82348 (Kansas) | Primary |
Entity Name | Community Health Center Of Southeast Kansas Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Mailing Address | Practice Location Address |
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Samantha Shepard, Po Box 1832, Pittsburg, KS 66762-1832 Ph: () - | Samantha Shepard, 1011 S Mount Carmel Pl, Pittsburg, KS 66762-6604 Ph: (620) 670-6710 |
Stacey E Bacon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 S Broadway St, Pittsburg, KS 66762 Phone: 620-235-4452 | |
Tracy M Orellana, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-240-5600 | |
Judith A Coltharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 Fax: 620-235-7913 | |
Ciri D Corbin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Sarah Diane Stinebaugh, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 S Olive St, Pittsburg, KS 66762 Phone: 620-704-7789 | |
Miss Sheina Michelle Huffman, ARNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 | |
Peter Bates, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 |