| Alicia C Shaw, FNP | |
|
300 N Morley St Ste A-c, Moberly, MO 65270-2334 | |
| (660) 263-1225 | |
| (660) 263-1613 |
| Full Name | Alicia C Shaw |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 300 N Morley St Ste A-c, Moberly, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124563275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A153239 (Iowa) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2016043696 (Missouri) | Primary |
| Entity Name | Swope Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689760076 PECOS PAC ID: 5294644530 Enrollment ID: O20040416000940 |
| Entity Name | Pike County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124030424 PECOS PAC ID: 8123015518 Enrollment ID: O20050407000376 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia C Shaw, FNP 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (660) 263-1225 | Alicia C Shaw, FNP 300 N Morley St Ste A-c, Moberly, MO 65270-2334 Ph: (660) 263-1225 |
Erma Johnmeyer-schutte, RN,C.S.,F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Kerri Elizabeth Woodson, AGAC, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Union Ave, Moberly, MO 65270 Phone: 660-263-8400 Fax: 660-269-2943 | |
Brooke D Gipson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1319 E Highway 24, Moberly, MO 65270 Phone: 660-263-6643 Fax: 660-263-0333 | |
Diana Wemhoff, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1501 Union Ave Ste D, Moberly, MO 65270 Phone: 660-263-4770 Fax: 660-263-2228 | |
Barbara Carrender, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Union Ave Ste 2500, Moberly, MO 65270 Phone: 660-372-1313 | |
Susan Y Rasmussen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Union Ave, Suite A, Moberly, MO 65270 Phone: 660-263-5556 |