Shanna Jade Hall, | |
7629 Ky Route 979, Grethel, KY 41631-6304 | |
(606) 587-2200 | |
Not Available |
Full Name | Shanna Jade Hall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 7629 Ky Route 979, Grethel, Kentucky |
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 |
---|---|---|---|
1790268530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3012657 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Big Sandy Health Care, Inc | 1951211218 | 47 |
Entity Name | Big Sandy Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104055805 PECOS PAC ID: 1951211218 Enrollment ID: O20040510000841 |
Entity Name | Big Sandy Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922594506 PECOS PAC ID: 1951211218 Enrollment ID: O20181008002523 |
Entity Name | Big Sandy Health Care, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972173136 PECOS PAC ID: 1951211218 Enrollment ID: O20210901001642 |
Mailing Address | Practice Location Address |
---|---|
Shanna Jade Hall, 1709 Ky Route 321, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 | Shanna Jade Hall, 7629 Ky Route 979, Grethel, KY 41631-6304 Ph: (606) 587-2200 |
Christina Newsome, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7629 Ky Route 979, Grethel, KY 41631 Phone: 606-587-2200 Fax: 606-587-2203 | |
Megan Rachelle Tackett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7629 Ky Route 979, Grethel, KY 41631 Phone: 606-587-2200 |