Mrs Shelby Poland, | |
2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | |
(270) 746-6330 | |
Not Available |
Full Name | Mrs Shelby Poland |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2508 Scottsville Rd Ste 104, Bowling Green, 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 |
---|---|---|---|
1578162046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3015380 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Medical Center At Scottsville | Scottsville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bowling Green Warren County Community Hospital Corporation | 7719899947 | 39 |
Entity Name | Bowling Green Warren County Community Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112507 PECOS PAC ID: 7719899947 Enrollment ID: O20031231000033 |
Entity Name | Commonwealth Health Corporation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109304 PECOS PAC ID: 5496667628 Enrollment ID: O20040916000800 |
Entity Name | Zipclinic Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861873507 PECOS PAC ID: 9032422688 Enrollment ID: O20150724011962 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shelby Poland, 2508 Scottsville Rd, Bowling Green, KY 42104-4400 Ph: (270) 746-6330 | Mrs Shelby Poland, 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 Ph: (270) 746-6330 |
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