Samantha Shipp, | |
1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | |
(270) 789-5794 | |
Not Available |
Full Name | Samantha Shipp |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1700 Old Lebanon Rd, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104531805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | 3018628 (Kentucky) | Primary |
Entity Name | Concord Medical Group Of Kentucky Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
Mailing Address | Practice Location Address |
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Samantha Shipp, 507 Fern Dr, Campbellsville, KY 42718-9607 Ph: () - | Samantha Shipp, 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 Ph: (270) 789-5794 |
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463 | |
Mr. Joshua Ryan King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 Fax: 270-789-0097 | |
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820 | |
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595 | |
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756 | |
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034 |