| Dr Emily Simoson Shields, MD | |
|
16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 | |
| (276) 258-3733 | |
| (276) 258-3734 |
| Full Name | Dr Emily Simoson Shields |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629109764 | NPI | - | NPPES |
| 7100142570 | Medicaid | KY | |
| P00925988 | Other | VA | RR MCARE |
| 1629109764 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101248155 (Virginia) | Primary |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily Simoson Shields, MD 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 Ph: (276) 258-3733 | Dr Emily Simoson Shields, MD 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211-7664 Ph: (276) 258-3733 |
Dr. Shaena Blevins, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr Ste 312, Abingdon, VA 24211 Phone: 276-258-3733 | |
Marivi A Niebauer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Suite 312, Abingdon, VA 24211 Phone: 276-258-3733 Fax: 276-258-3734 | |
Dr. Monika Elizabeth Pelly, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 468 E Main St, Ste 300a, Abingdon, VA 24210 Phone: 276-608-4388 | |
Dr. Shaji Justus Puthuvel, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 Campus Dr, Suite 110, Abingdon, VA 24210 Phone: 276-525-1442 |