Shea Quesenberry Hamm, | |
1900 Electric Rd, Salem, VA 24153-7494 | |
(540) 776-4274 | |
Not Available |
Full Name | Shea Quesenberry Hamm |
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Gender | Female |
Speciality | Registered Nurse |
Location | 1900 Electric Rd, Salem, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730800434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 001219427 (Virginia) | Primary |
Entity Name | Wildwood Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629560917 PECOS PAC ID: 1850649310 Enrollment ID: O20180731003816 |
Entity Name | Kingsford Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
Mailing Address | Practice Location Address |
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Shea Quesenberry Hamm, 4740 Indian Valley Rd Nw, Willis, VA 24380-4185 Ph: (540) 239-4724 | Shea Quesenberry Hamm, 1900 Electric Rd, Salem, VA 24153-7494 Ph: (540) 776-4274 |
Mrs. Mary Arminta Smith, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-855-3464 | |
Kyle Sugonis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Amy L Hahn, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mr. Ray Andrew Kiracofe Iii, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Donna Huff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Mackenzie Brea Wimmer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 | |
Ms. Louisa Jeanette Sohmer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 |