| Angela Shepherd, | |
|
715 N College Ave, El Dorado, AR 71730-4403 | |
| (870) 862-7921 | |
| Not Available |
| Full Name | Angela Shepherd |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 715 N College Ave, El Dorado, 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 |
|---|---|---|---|
| 1750163382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23787 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 13383-C (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Arkansas Regional Health Center | 0941199988 | 16 |
| Entity Name | South Arkansas Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467423384 PECOS PAC ID: 0941199988 Enrollment ID: O20040315001172 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Shepherd, 715 N College Ave, El Dorado, AR 71730-4403 Ph: (870) 862-7921 | Angela Shepherd, 715 N College Ave, El Dorado, AR 71730-4403 Ph: (870) 862-7921 |
Philip C Packard, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Erin P Shaffer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Carrie D Davis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Ms. Rebekah Marie Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 N College Ave, El Dorado, AR 71730 Phone: 870-862-7921 Fax: 870-864-2490 | |
Crystal Ann Brooks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Champagnolle Rd, El Dorado, AR 71730 Phone: 937-510-6317 | |
Claudia C Taylor, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1905 N Calion Rd, El Dorado, AR 71730 Phone: 870-863-0031 |