Tiffany Lynn Shanahan, NP-C | |
3101 Se 14th St, Bentonville, AR 72712 | |
(479) 986-6090 | |
(479) 986-6250 |
Full Name | Tiffany Lynn Shanahan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 3101 Se 14th St, Bentonville, Arkansas |
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 |
---|---|---|---|
1750818894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005159 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Northwest Arkansas Communities | 0648177873 | 269 |
Entity Name | Mercy Health Northwest Arkansas Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
Entity Name | Mercy Northwest Arkansas Ambulatory Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
Mailing Address | Practice Location Address |
---|---|
Tiffany Lynn Shanahan, NP-C 3101 Se 14th St, Bentonville, AR 72712-4900 Ph: (479) 986-6090 | Tiffany Lynn Shanahan, NP-C 3101 Se 14th St, Bentonville, AR 72712 Ph: (479) 986-6090 |
Mrs. Deborah Mullens Shirey, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Se Walton Blvd., Ozark Urgent Care, Bentonville, AR 72712 Phone: 479-464-0400 | |
Janice Williams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937 | |
Diana Rene Dunbar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250 | |
Valerie Bedwell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 Medical Center Pkwy Ste 240b, Bentonville, AR 72712 Phone: 479-553-2200 | |
Ms. Lisa Elaine Atkins, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250 | |
Lorinda M Macdonald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Sw I St Ste 23, Bentonville, AR 72712 Phone: 603-356-4949 | |
Mr. Johnny Mac Stevens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 Se 14th St Ste B, Bentonville, AR 72712 Phone: 479-250-1053 Fax: 479-250-0923 |