Tera Marie Shaw, APRN | |
407 N. Miami St, West Milton, OH 45383 | |
(937) 430-2213 | |
Not Available |
Full Name | Tera Marie Shaw |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 407 N. Miami St, West Milton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760166904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0034001 (Ohio) | Primary |
Entity Name | Premier Health Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
Entity Name | Sinclair Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063289601 PECOS PAC ID: 9830536911 Enrollment ID: O20240325002978 |
Entity Name | Hisey Physician Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073380614 PECOS PAC ID: 8426495292 Enrollment ID: O20240328002362 |
Mailing Address | Practice Location Address |
---|---|
Tera Marie Shaw, APRN 407 N Miami St, West Milton, OH 45383-1911 Ph: (937) 430-2213 | Tera Marie Shaw, APRN 407 N. Miami St, West Milton, OH 45383 Ph: (937) 430-2213 |
Ms. Erica Nichole Cook, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Larrel Ln, West Milton, OH 45383 Phone: 937-638-2284 | |
Tara Lynn Williams, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4285 W State Route 571, West Milton, OH 45383 Phone: 937-305-8630 |