Samantha B Shell (NPI# 1518213776, PAC ID# 7911137914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518213776 |
| PAC ID by PECOS | 7911137914 |
| Professional Enrollment ID | I20140312001365 |
| Full Name | Samantha B Shell |
| Organization Legal Name | WAYNESBURG CLINIC, PLLC |
| Address |
14098 Us Hwy 27 S Waynesburg KY 40489-8253 |
| Phone Number | 6063796646 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375635857 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181315 | EPHRAIM MCDOWELL FORT LOGAN HOSPITAL |
| 180048 | EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER |
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14098 Us Hwy 27 S, Waynesburg, KY 40489-8253 | 6063796646 | WAYNESBURG CLINIC, PLLC |
| Organization Legal Name | WAYNESBURG CLINIC, PLLC |
| Physicians | 1 |
| Street Address |
14098 US HWY 27 S |
| City | WAYNESBURG |
| State | KY |
| Zip | 40489-8253 |
| City | WAYNESBURG |
| Zip Code | 40489 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAYNESBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.