| Nancy Shupe, MD | |
|
13260 Service Rd, Walton, KY 41094-9565 | |
| (859) 485-4116 | |
| (859) 485-1389 |
| Full Name | Nancy Shupe |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 13260 Service Rd, Walton, Kentucky |
| 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 |
|---|---|---|---|
| 1033146881 | NPI | - | NPPES |
| P00840878 | Other | KY | RAILROAD MEDICARE |
| 64306954 | Medicaid | KY | |
| 080092539 | Other | KY | RAILROAD MEDICARE |
| 2112994 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30695 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Home Care | Florence, KY | Home health agency |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Grant | Williamstown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Shupe, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 485-4116 | Nancy Shupe, MD 13260 Service Rd, Walton, KY 41094-9565 Ph: (859) 485-4116 |
Anne T Donovan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13260 Service Rd, Walton, KY 41094 Phone: 859-485-4116 Fax: 859-485-1389 | |
Joshua A Kadetz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 Chestnut Dr, Walton, KY 41094 Phone: 859-485-7900 Fax: 859-485-7920 | |
Jordan Mathews, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 13260 Service Rd, Walton, KY 41094 Phone: 859-485-4116 Fax: 859-485-1389 | |
Melissa Diane Larson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13260 Service Rd, Walton, KY 41094 Phone: 859-485-4116 |