| Courtney Shane Barrett, NP | |
|
12522 W Colonial Trail Hwy, Crewe, VA 23930-3329 | |
| (434) 645-9191 | |
| (434) 645-1859 |
| Full Name | Courtney Shane Barrett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 12522 W Colonial Trail Hwy, Crewe, Virginia |
| 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 |
|---|---|---|---|
| 1376191197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024177935 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bon Secours St Francis Medical Center | Midlothian, VA | Hospital |
| Cjw Medical Center | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Dominion Health System Inc | 0648188755 | 15 |
| Entity Name | Southern Dominion Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295706588 PECOS PAC ID: 0648188755 Enrollment ID: O20040611000631 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Shane Barrett, NP 14490 Meade Rd, Amelia Court House, VA 23002-4502 Ph: (252) 394-6162 | Courtney Shane Barrett, NP 12522 W Colonial Trail Hwy, Crewe, VA 23930-3329 Ph: (434) 645-9191 |
Michelle Seamster Cook, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12522 W Colonial Trail Hwy, Crewe, VA 23930 Phone: 434-645-9191 Fax: 434-645-1859 | |
Mrs. Reba Watlington Francis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5373 Indian Oak Rd, Crewe, VA 23930 Phone: 434-294-2817 |